same level of insurance as a man? maybe not, maybe you didn't know that. but lots of women in the country are getting repay thes bore that very reason -- rebates for that very reason. because of the affordable care act, both of these discriminatory practices have been outlawed. in addition, the affordable care act is already returned money to the pockets of millions of women thanks to the rebates required by insurance companies under the health care law. and finally, the affordable care act outlaws lifetime and yearly limits, insidious insurance practices that capped the amount of health care and insurance a company would provide. . because of health care reform americans no longer have to worry they will be denied health care they need simply because insurance companies refuse to pay for their continued care. did you know that 85% of your premium dollar will go to health care not to other things that the insurance companies want to spend it on. the majority has claimed that

the affordable care act is bad for america's small businesses. the truth is that any small business that has less than 50 employees requires them to do nothing different, nothing at all, than what they are doing today. but a small business with less than 25 employees are eligible for a tax credit of 35% right now. and on january 1, that tax credit would increase to 50%. you will get a tax credit on half of the health insurance you employees under 25% -- 5 employees. the majority's also claimed and will continue to claim that the health care was passed in the dark of night that denied their side of the aisle to participate in the legislative process. this is categorically untrue. the affordable health care act was a private of nearly 100

hearings, 100, 83 hours of committee markups, including both republicans and democrats, making amendments. the house heard 181 witnesses, both democrat and republican. 239 amendments were considered in house committees. and 121 were adopted. while some on the other side of the aisle charge the final version of the law was rushed in the house, the final bill was available for 72 hours before any members were asked to vote on it. in contrast, the patient's rights and repeal act, which we are doing again today after the 37th time, is being considered after no committee hearings, no committee markups, and under a closed rule. that means there will be no amendments on this bill. even if one were sympathetic towards the majority's goal, the complete abuse of the legislative process should give

every member of this chamber pause. mr. speaker, today's vote is just the latest in the majority's all-out effort to undermine the of implementing the health law. their efforts has taken many forms, but central to it all is their refusal to provide the necessary funding to fully implement the law. in a gleeful willingness to criticize an implementation process that is underfunded and undermined at every single turn. but despite their best efforts, i believe in years to come the majority will find they stood on the wrong side of the street, just as they stood on the wrong side of history when social security was passed, and when medicare came into being. indeed, the opponents of the affordable care act have already had their day in court. last summer the supreme court affirmed the constitutionality of the affordable care act, putting to rest any false legal concerns that the opponents had.

while the constitutionality of the law is no longer a question, one might expect opponents to criticize the law's impact on our nation's finances, but here again the facts will stand in the way. over the last three years u.s. health care spending grew at 3.9%. that, mr. speaker, 3.9%, is the 50est, lowest growth rate in years. and according to the nonpartisan congressional budget office, repealing the affordable care act would actually increase our nation's deficit by more than $100 billion over the next 10 years. please think of that and understand what we are -- they are trying to do away with today, the things that had you. mr. speaker, providing safe, secure, and affordable health care for our citizens has been the goal of both republican and democrat lawmakers for generations. as far back as theodore roosevelt we acknowledge the

need to provide our citizens with a health care system that puts their health before industry profits, and has good outcomes as other parts of the world provide for their citizens. and we need to treat health care as a right not a privilege for the lucky few. now under the leadership of democrat congress, we managed to realize at long last this long awaited goal by passing the affordable care act through an open, deliberative, thorough legislative process. from reducing our nation's health care spending, to expanding the health care to millions of americans who could not afford it, the affordable health care is succeeding. it is in this light that the majority's 37th vote in 41 months to repeal health care should be judged. it's hard to judge that politically driven vote is anything other than a disservice to the american people, a waste of taxpaye ar ne a way to

spread misinformation. i urge my colleagues to reject today's rule and the underlying legislation. and i reaffirm my pride in supporting a law that is already helping to save lives and already providing american people with secure and affordable health care. and after it is fully implemented next year, all americans will benefit. i reserve the balance of my time. the speaker pro tempore: the gentlelady reserves. the gentleman from texas is recognized. mr. burgess: mr. speaker, i would like to two minutes to the gentleman from texas, member of the budget committee. the speaker pro tempore: the gentleman from texas is recognized for two minutes. mr. williams: i rise in support of the free enterprise, the hallmarks of our great american democracy. a government that places high value on these principles does not force citizens to hand over its money for a mandatory product, in this case health insurance. this is not just how it's done in america. mr. speaker, nancy pelosi and

her democratic colleagues, wrested this bill through congress more than three years ago. democrats and republicans can agree on one thing, this is very flawed and not even what americans asked for in the first place. even president obama has signed a law that dismantled provisions of his health care law. to find commonsense the present democrats in congress continue to push forward with implementation of this disastrous law, who wants it? members of obama's own party are doubting how it will work? senator maximum bachus -- baucus is a train wreck. and rockefeller said it's overly complicated. insurance companies don't want it, the majority of the public doesn't want it, organized labor doesn't want it. i can tell you the small business owner of nearly 42 years, i can tell you small businesses don't want it. no business will run their business like the president is running this government and the massive health care overall. can i say from firsthand experience, the small business, backbone of our economy are hurting. as a job creator i know how

business can no longer hire. they can't take risks that would grow the economy. i have heard from people all over my district who have work available and positions ready to fill but they can't hire anyone or else they risk going over the number 50 employees and being subject to the he obamacare employee mandate. everybody wants to be at 49. how is this good for americans and america? the struggling economy has already forced families to cut back and tighten their budgets. how does the president expect these hardworking taxpayers to pay additional $3,000 each year for obamacare? i have had employees come to me in tears wondering how they are going to provide coverage for their families, and even a few americans able to keep their current insurance will see their premiums rise by an average of 73%. again i ask how is that good for america? mr. speaker, in closing i'd like to quote patrick henry. he claimed the constitution is not an instrument for the government to restrain the people, it is an instrument for the people to restrain the government lest it come to dominate our lives and interest. let's put an end to the chaos

and do what's right for families and businesses. repeal obamacare today. the quicker the better. the speaker pro tempore: the gentleman's time has expired. the gentlelady from new york is recognized. ms. slaughter: mr. speaker, i yield two minutes to the gentlewoman from california, ms. matsui. the speaker pro tempore: the gentlelady from california is recognized for two minutes. ms. matsui: thank you, mr. speaker. i thank the gentlelady for yielding. mr. speaker, i rise today in strong opposition to the rule and the underlying legislation. here we go again, in fact, i lost count of how many times i have had to vote, we had to vote on a bill to repeal the affordable care act. the underlying legislation before us today would deny my constituents and the american people access to affordable health care. it would increase health costs and reduce benefits for millions of american families. it's ironic that during older americans month we are here voting on a bill that will eliminate benefits to seniors, including preventive services and savings on prescription drugs. it would allow insurance companies to deny coverage to

americans with pre-existing conditions. drop coverage when people get sick. reinstitute lifetime limits on coverage. and charge people more based merely on gender. the affordable care act has already created long lasting benefits for many of my constituents, including theresa, a single mother of four whose youngest child is 20 and lives with a pre-existing condition. prior to the affordable care act, theresa was personally spending over $10,000 a year to pay for the care. her daughter's medical condition prehaven'ted her from attending college. thanks to the afor theable care act she was able to be added back to her mothers' health plan. this has meant tremendous savings for theresa who was worried she might lose her home along with the care her daughter needed. vote against this rule and against this underlying legislation is a vote to protect our constituents from unfair insurance company practices, to provide relief to americans young and old alike, to protect

job growth and creation, and for a fiscally responsible future. it is time for this congress to move forward not backwards. i urge my colleagues to vote down this rule and underlying legislation. i el thealance of my time. the speaker pro tempore: the gentlelady yields back. the gentleman texas is recognized. minutes to the gentleman from louisiana, mr. scalise. the speaker pro tempore: the gentleman from louisiana is recognized for two minutes. mr. scalise: thank you, mr. speaker, for yielding. i thank the gentleman from texas for yielding. i rise in strong support of this rule and as a proud co-sponsor of this bill to repeal obamacare, i think it's very important that we in this house have this vote. and, yes, we have had this vote many times. i think it's important to have it again this congress because so much more has come to light since the last time that this vote was held in the last congress. what are some of those things? of course when nancy pelosi was speaker she famously said, you have to pass the bill to find out what's in it. we are seeing more and more every day just how many devastating things are happening

in our economy because of obamacare. in fact, how bad is it? it's so bad that one of the senate architects of the bill, senator max bachus, said i see a huge train wreck coming down. when they were in the backroom writing this bill, he was the guy with the pen. he he wrote the bill in the senate and he said it's a train wreck coming down. why would we want to do this to the american people and system of health care that we have today that has some problems? but why would you want to destroy the things that work and fix the things that work? this bill, obamacare, is actually scheduled to increase health care costs dramatically by american families. in fact, what will it do to our health care system? this is what families are finding out all across not just southeast louisiana, the area i represent, but across the country. this chart shows all the different federal agencies that come in between a patient and their doctor in health care. it used to be the patient talking to the doctor, and they make the health care decision. that was the sacred relationship

in health care. now you have all these federal agencies. who is at the top? the i.r.s. the i.r.s. is the enforcement arm of obamacare. of course just in the last few days we have seen the corruption at the i.r.s. where they have literally gone and picked winners and losers, picked partisan fights and literally tried to enforce the obama administration's will, punishing the enemies of the obama administration. this is not the agency that should be running health care. we need to repeal this law and fix the real problems in health care. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentlelady from new york is recognized. ms. slaughter: mr. speaker, i'm pleased to yield two minutes to the gentlelady from new york, mrs. maloney. the speaker pro tempore: the gentlelady from new york, mrs. maloney, is recognized for two minutes. mrs. maloney: i thank the gentlelady for yielding and extraordinary leadership. i rise, mr. speaker, today in opposition to the patient's rights repeal act and opposition to the rule. mr. speaker, at a time when the american people would like congress to focus their attention on increasing and

growing the economy and growing job growth, we are instead for the 37th time involved in partisan politics. it's especially troubling that our republican colleagues have chosen to celebrate national women's health week by attempting to undo the important gains that were made for women's health in the affordable care act. a study issued by the joint economic committee, while i was chair, found that across this country under the old status quo an estimated 64 million women lacked adequate health insurance. and 39% of all low-income women had no health insurance coverage at all. a repeal now of the affordable care act could mean that millions of american women could find it nearly impossible to gain insurance if they had a pre-existing condition, such as a pregnancy.

a repeal now would take away benefits women are already receiving, such as free mammograms, a repeal now would mean that the end of lower cost prescription drugs for our seniors. a repeal now would yank young people off of their parents' policies between the ages of 23 and 26. . a repeal now would send us back to the bad old days, to the days of pre-existing conditions, gender ratings and lifetime caps. would moo -- it would mean that over 1.9 million people would not have access to quality, dependable health insurance coverage. a vote no on this repeal -- i'll vote no on this repeal and i yield back the balance of my time. the speaker pro tempore: the gentlelady's time has expired. the gentleman from texas is recognized. mr. burgess: thank you, mr. speaker. i now am pleased to recognize the author of the bill and a true leader in this effort, in

this fight, the gentlelady from minnesota, mrs. bachmann, is recognized for such time as she may consume. the speaker pro tempore: the gentlelady from minnesota is recognized. mr. baca: mr. speaker, i strong -- mrs. bachmann: mr. speaker, i strongly urge all of my colleagues on both sides of the aisle to listen to the clear, distinct voice of the american people. they have spoken loudly, they have spoken clearly. they heard the words of then speaker of the house nancy pelosi when she famously said, we must pass obamacare before we can know what's in it. and as my colleague steve scalise said, now we know what's in the bill and now we know why obamacare is less top lar today than even before -- popular today than even before it was passed the first time. you see, mr. speaker, the more we learn about obamacare, the more unpopular it becomes. even a democrat, max baucus, who helped write obamacare said, i just tell you, i see a huge

train wreck coming down. well, i ask you, mr. speaker, seven months from now, when obamacare comes fully online, when people's health care premiums will soar through the roof, in some cases increasing 400%, what then, mr. speaker? we see this coming, just like the titanic, we see the iceberg, only it's not just in a mist, shortly in front of our eyes. we have time to turn. and that's why we're here. we're here to make the turn from a train wreck. so why not repeal that bill today? repeal it in the house but repeal it in the u.s. senate. enforce -- and fose force the president of the united states -- and force the president of the united states to refeudate his signature piece of legislation under his watch which his own party calls a train wreck. it's now, now is the time to listen to the american people. you see, mr. president,

president obama told us, he promised us that obamacare would fund insurance for people with pre-existing conditions. as a compassionate people, we want to help people in this very difficult situation. but obamacare, the truth is that it is so poorly thought out that the funding for pre-existing conditions has already run out. you heard me right, mr. speaker. less than 1% of the american people with pre-existing conditions got the funding and now the door has been slammed in their face. so i ask you, mr. speaker, what now? what are the remaining 99% of the american people with pre-existing conditions supposed to do now? now they're told we've already run out of money. and the bill hasn't even fully come into effect. the centerpiece of compassion under this bill. and now we've learned that the i.r.s., the internal revenue service, i used to be a federal

tax litigation attorney and our client was the i.r.s. i was involved in this agency. now we've learned that the i.r.s., who is tasked with enforcing this very unpopular bill of obamacare, the i.r.s. admitted they targeted americans, they targeted conservative groups, they targeted christians, they targeted pro-israel people, they targeted people who are probusiness, who want to be against accumulating debt. and, yes, they targeted tea party groups based upon their political and religious beliefs. and so this government expansion known as obamacare will allow bureaucrats access to our most intimate, personal health care information. it will be in a huge database the government is putting together and building right now. under obamacare the average american will pay more, they'll get less and now they have to

worry that their government may punish them because of their beliefs. this is america. we don't do that in this country. we want real solutions, we want cures for alzheimer's. we can have it. we want cures for parkinson's disease, it's within our grasp. we want cures for juvenile diabetes. spend our money there. we deserve better. the american people deserve better solutions and real reform in health care. now is the time, listen to the american people and let's give them what they deserve. and i yield back. the speaker pro tempore: the gentlelady yields back the balance of her time. the gentlelady from new york is recognized. ms. slaughter: mr. speaker, i'm pleased to yield two minutes to the gentleman from rhode island, mr. cicilline. the speaker pro tempore: the gentleman from rhode island is recognized for two minutes. mr. cicilline: i thank the gentlelady for yielding and for her extraordinary leadership. mr. speaker, more than -- excuse me, i rise today in opposition to the patient rights to repeal

act and the underlying rule. more than three months ago, following debate and perpetual republican talking points on socialized -- socialized medicine and government-sponsored death panels, congress passed and the president signed into law an historic health care bill that was designed to extend health care to millions of americans and over time bring down the costs of health care. opponents of this new law didn't give up. they took their case all the way to the supreme court and they lost. in the house they held 36 votes to repeal or defund this law and they failed. according to an analysis from cbs news, these empty attempts at repeal have cost taxpayers a total of $52.4 million. even as my republican friends argue for cutting important programs like head start and critical nutrition programs for those most at need. yet here we stand about to vote for a 37th time on repealing a

bill that is already providing real benefits for our country. contrary to what my friends on the other side of the aisle may argue, we've already seen a slowdown in the overall growth of health care spending since the enactment of this law. and just in my home state of rhode island, more than 170,000 women have guaranteed access to preventive services without cost sharing. 374,000 rhode islanders no longer have to worry about lifetime limits on their coverage. and 9,000 young adults have gained access to health care coverage because of this law. let's reject this proposal, stop playing these political games and get back to the really serious and urgent work of creating jobs, preventing gun violence, fixing our broken immigration system, passing a budget by regular order and ending the sequester. i thank the gentlelady for yielding and i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. for what purpose does -- i'm sorry, the gentleman from texas is recognized. mr. burgess: mr. speaker, may i ask as to the time remaining?

the speaker pro tempore: the gentleman from texas has 17 minutes remaining. the gentlelady from new york has 14 minutes remaining. mr. burgess: i thank the speaker. at this time i'd like to yield two minutes to the gentleman from kansas, mr. huelskamp. the speaker pro tempore: the gentleman from kansas is recognized for two minutes. mr. huelskamp: thank you, mr. chairman. president obama and his legislative supporters promised us many things in obamacare. some folks might call this misinformation, but today i call it -- them whoppers. whopper number one, we were promised obamacare will reduce the deficit. instead, according to the report from the nonpartisan g.a.o., obamacare will increase the federal deficit by $6.2 trillion. secretary sebelius, whopper number two, health insurance for all. she has now admitted up to 24 million americans will lose their current health insurance. number three, we were promised it will not fund abortions. yet for the first time in decades, americans will be forced to fund abortions through federal insurance subsidies. whopper number four, it will

create jobs. a recent nonpartisan study concluded that obamacare's employer mandate can put up to 3.2 million american jobs at risk. number four, we were promised it will strengthen medicare. but instead obamacare contains $700 billion in cuts to medicare and allows a bureaucratic, unelected, unaccounted panel to make these massive cuts to medicare. whopper number six, we were promised that obamacare respects religious liberty. 19 courts disagree. because the h.h.s. mandate requires all employers to pay for insurance including abortion drugs irrespective of any moral objections. whopper number seven, health insurance will go down, they promised. but instead every estimate, every estimate provided by insurance providers indicates premiums will increase anywhere from 20% to 400%. whopper number eight, it is not a tax. if it's not a tax, why does the

i.r.s. need 2,000 more agents just to implement obamacare because of the 21 tax hikes included in the bill? and last of all and most importantly, the biggest whopper of all, if you like your health care plan, you can keep it. my constituents, your constituents have shared real-life story after story about how they will lose the coverage they like once the individual mandate goes into effect. and the c.b.o. estimates up to seven million americans may lose their employer-sponsored health insurance plan. mr. speaker, it's time to stop telling whoppers and start speaking the truth. it's time to repeal obamacare now. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentlelady from new york is recognized. ms. slaughter: mr. speaker, i'm pleased to yield two minutes to the gentlewoman from florida, ms. wasserman schultz. the speaker pro tempore: the gentlelady from florida is ecognized for two minutes. was was thank you, mr. speaker. i -- ms. wasserman schultz: thank you, mr. speaker. i rise in opposition to this. this is the republicans' 37th attempt to derail health care

reform. rather than work to create jobs and to improve our economy, republicans are focused on taking away key patients' rights and benefits that are already improving countless american lives. with this vote today to repeal the affordable care act, house republicans are saying that they don't mind if insurance companies drop patients as soon as they get sick. or if our seniors can't afford their prediction drugs to stay healthy. three years after the affordable care act was passed by congress, signed into law by the president and upheld as constitution albie the supreme court -- constitutional by the supreme court, people are seeing meaningful protections for their health and well-being. as a cancer survivor and as a member of three young children, this law isn't about politics for me. it's personal. when i was diagnosed with breast cancer at the age of 41, five years ago, it was like my world was coming down around me all at once. my colleagues must understand and we were reminded again this week, there is nothing in the world more gut wrenching as a parent than not being able to

ensure your children that their mom is going to be ok. or that they won't have to worry about getting cancer someday themselves. i was fortunate to have exceptional health care coverage. but too many women in our country have never had the ability to see a doctor. and so many face true financial hardship with a diagnosis like mine. over the past five years, i've had so many women come up to me and confess that they haven't had a mammogram in years because they can't afford the expensive co-pay or they fear that prohibitive -- they fear the prohibitive cost of treatment. that's unacceptable in the united states of america. imagine how many millions in our country face terrifying health care decisions every day. this congress has the power to protect them from uncertainty, instability and financial ruin. that power lies in the provisions of the affordable care act, tools like prepreventtive care and cancer screening services that help save women's lives. we cannot waste a minute with these attempts to repeal a law that has made such a difference for many of our constituents, for our children and all families across this nation. we must come together and work to implement this historic

health care reform that is the law of the land and that is not going to be repealed. thank you. i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired. -- the gentlelady's time has expired. the gentleman from texas is recognized. mr. burgess: thank you, mr. speaker. at this time i yield a minute to the gentleman from virginia, mr. hurt. the speaker pro tempore: the gentleman from virginia is recognized for one minute. mr. hurt: i thank the gentleman for yielding. mr. speaker, today i rise in support of a full repeal of the president's health care law. i believe we must repeal this law and replace it with patient-centered, market-oriented reforms that will improve patient care, broaden patient access and reduce patient costs. from the beginning the president promised that his health care law would improve the quality of health care for all americans. he said if you wanted to keep your doctor, his plan was for you. if you wanted to keep your health care plan, his law was for you. he said that if you wanted lower insurance premiums, his law was for you. well, the bill passed and the people of virginia's fifth district are getting a full dose of it and they don't like what they see. as i traveled across my district, i heard from our

constituents, our main street businesses, our local governments and our health care producers that this law is not living up to the president's promises. in fact, people are not able to keep the health care plans that they've always counted on. people are being hit with spikes in insurance premiums and people are having to take second jobs because they can't afford to live on a 29-hour workweek. this repeal bill is important because it is an expression of the sentiment of the people i respect, they want real health care reform, not government mandates. i encourage my colleagues to support the rule and support this bill. i thank the gentleman for yielding. the speaker pro tempore: the gentleman's time has expired. the gentlelady from texas or the entlelady from new york is recognized. ms. slaughter: thank you, mr. speaker. i yield two minutes to the gentleman from california, mr. swalwell. the speaker pro tempore: the gentleman from california is recognized for two minutes. mr. swalwell: i rise in opposition to the patients rights repeal act. the 37th such time that the republican house leadership has had us consider this. before i came to congress i was a prosecutor. and as a prosecutor i would take my case, present evidence to the jury, the jury would reach a

verlander and the case would be closed -- verlander and the case would be -- verdict and the case would be closed. in 2009 and 2010, this body debated the affordable care act. evidence that the affordable care act would increase access to quality care was presented. evidence about eliminating pre-existing conditions was prentsed. the law was passed by -- presented. the law was passed by a majority of democratically elected representatives. it was signed into law by the president of the united states and recently it was upheld by the supreme court. . we had an election where the candidates talked about these and they had two different positions. this president who signed it into law was re-elected. the verdict on the affordable care act is in. the case is closed. mr. speaker, the benefits are also real. in california, 5.6 million people will have access to health care. there are very serious issues facing our country, growing and lifting our economy, having a green energy policy that makes

us independent from other forces -- foreign sources of oil. and passing comprehensive immigration reform. but this leadership is acting like a frivolous litigant, wasting our time. voting over and over, 37 times to repeal the affordable care act. the 37th time will not be a charm. the definition of insanity is doing the same thing over and over and over and expecting a different result. i urge my colleagues to oppose h.r. 45. i urge the house republican leadership, stop the insanity and let's move forward on the issues that will grow our economy, make us independent from foreign sources of oil, and how we find our energy, and fix a broken immigration system. thank you, i yield back the balance of my time. the speaker pro tempore: the gentleman from texas is recognized. mr. burgess: thank you, mr. speaker. i'd now like to yield one minute to the gentleman from virginia. the speaker pro tempore: the gentleman from virginia is recognized for one minute. mr. forbes: i want to thank my

friend, dr. burgess, for his leadership on this issue and yielding me time. we heard the speaker say talk about the definition of insanity and americans woke up and realized the definition of insanity is giving massive amounts of information to thousands of revenue service agents who can use it. despite the fact this bill is increasing costs on individuals and businesses, at least we ought to agree we don't want to hire thousands of new internal revenue service agents give them all this information they can use as an abusive process over our lives. in addition to that, mr. speaker, i introduced the prevent i.r.s. overreach act which would take the internal revenue service out of this provision. i hope we'll adopt this rule, and support the underlying bill. with that, i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentlelady from new york is recognized. ms. slaughter: mr. speaker, i'm pleased to yield two minutes to the gentlewoman from texas, ms. jackson lee. the speaker pro tempore: the gentlelady from texas is recognized for two minutes. ms. jackson lee: i ask unanimous consent to revise and extend my

remarks. the speaker pro tempore: without objection. what a -- i e: thank the gentlelady for her leadership and i rise today in opposition to the patients rights repeal act. i want you to see the face of those who have been served across america. they are, yes, low-income, some are impoverished, but many are middle income. there was an article in the texas newspaper that said, part of what drives the need for health care on medicaid or expanded medicaid which is part of this great bill, the affordable care act, is the fact that people are impoverished. here's what my friends want to do today for the 37th time. they want to take away from 13 million americans the health insurance that they need. that they were able to secure with rebates from the health insurance companies. they want to take away from 105 million americans, 70 million americans in private plans who receive prefree preventive services. they want to tell wowh

needed mammograms and additional tests for breast cancer you can't go in and get the preventive care you need to save lives. yes, they want to tell 17 million children with pre-existing disease, you cannot go in any more and be covered. the conversation over here is plain foolish. they are only talking about their economics. there are economics of wealth. to eliminate going racial disparate if they get rid of this bill. 28.4% es like texas, has uninsured along with louisiana and arkansas and georgia and many others, florida that have uninsured people who need this. maybe they'll tell the 6.6 million children that have taken advantage of the law to obtain health insurance or pre-existing disease they cannot do that. or maybe they'll tell the seniors you can go back into the doughnut hole again. i don't know why we are doing this, but i will tell you that i

see that lives are saved. i introduced an amendment to make sure we didn't lose the federally qualified health clinic. when you repeal this bill, you will dash the hopes of those who have been walking into their neighborhoods, going into federally qualified health clinics, getting the good care they need. drink the wine and leave us alone and make sure we keep the patients bill of rights. the speaker pro tempore: the gentlelady's time has expired. the gentlelady's time has expired. the gentleman from texas is recognized. mr. burgess: mr. speaker, at this time i would like to yield two minutes to the gentleman from georgia, dr. paul broun. the speaker pro tempore: the gentleman from georgia is recognized for two minutes. mr. broun: thank you, dr. burgess, for yielding. the obamacare law must be ripped out by their roots. it needs to be replaced with something that makes sense for my patients and my colleagues so we can deliver good quality

health care. obamacare is a destroyer. it's going to destroy the doctor-patient relationship. it's going to destroy the quality of health care in america. it's going to destroy budgets from personal budgets, family budgets, business budgets, state budgets, and even the federal budget. it's a big spending bill. we've got to stop this outrageous spending. i just got off the phone with our governor, nathan deal, and he told me the cost of health care for the state employees in georgia has gone up 12% because of obamacare. and it's going higher. i just got an email from a businessman in georgia who said his premiums have doubled since last year because of obamacare. we must rip it out by the roots and replace it with my patient option act that's a market-based, patients centered health care plan that will literally make health care cheaper for everybody in this

country. it will provide coverage for all americans. it's going to save medicare from going broke. obamacare is going to break the bank for everybody. and it just must be repealed. and replaced with my patient option act. mr. chairman, mr. speaker, i yield back. the speaker pro tempore: the gentleman yields back. the gentlelady from new york is recognized. ms. slaughter: mr. speaker, let me yield myself 30 seconds to respond to the previous speaker. i feel very badly about his constituent whose health care premiums have gone up, i want to say that's because insurance companies raised those price, obamacare is not in effect for small businesses. i'm sorry i haven't got the time. it's all allocated. i'll talk to you later about it. mr. broun: it's obamacare running the cost up. ms. slaughter: no, it's not. insurance companies. i yield two minutes to the gentlewoman from from connecticut. the speaker pro tempore: the gentlelady from connecticut is recognized for two minutes. s. esty: i thank the

gentlelady. mr. speaker, i rise to oppose the patient's rights repeal act and the rule. there is nothing wrong with working to improve the affordable care act. we should work to make quality health care more affordable and more available to all americans. but repeal is not a solution. and has real and serious consequences for folks in connecticut. even worse, this vote is a tremendous waste of time. when we have serious work to do for our constituents. mr. speaker, this bill is the 37th time, the 37th time congress is voting to repeal health care reform. five months after the tragic attack in newtown in my district, house republican leaders continue to refuse to allow a single vote, a single vote on commonsense gun legislation to reduce gun violence. instead of voting on enhanced

background checks, a reform supported by over 90% of the american people, congress is now -- has now devoted 15% of its time to trying to repeal health care. mr. speaker, it's time for congress to st wasting time on pointless political gamesmanship and get to work for the american people. i yield back my time. the speaker pro tempore: the gentlelady yields back. the gentleman from texas is recognized. mr. burgess: mr. speaker, i'm pleased to yield two minutes to the gentleman from iowa, steve king. the speaker pro tempore: the gentleman from iowa is recognized for two minutes. mr. king: i thank the gentleman for yielding. as i listened to the gentlelady talk about enhanced background checks, it just occurs to me, mr. speaker, that if we repeal obamacare, we can save more lives by bringing real health care reform to this country and restoring the doctor-patient relationship, providing incentives for research and development, and let our health care system continue to modernize instead of freeze its

development and atrophy as it will under a government controlled program. as i listened to t gentlady earlier, her opening remarks on th rule, for the affordable care act, it occurs to me, mr. speaker, it really isn't the name of it. it is the patient and protection and affordable care act, that long lingo nobody knew what it was. it was market tested, reduced down to the affordable care act. we know it's the unaffordable care act. that's why we call it obamacare. it was passed by legislative shenanigans and passed in the dark of the night. they had to split some of it out and pass it by reconciliation because even the voters in massachusetts, to replace teddy kennedy's seat elected a republican to put a block to obamacare. that's an extraordinary event that happened in america. 87 new freshmen, republicans came into this congress as a result of it. the blue dog democrats became essentially politically extinct because of obamacare. and the promise that is were made were obviously not kept. we remember the president's promises. there are three big promises he made.

if you like your doctor, you can keep him. or her. no, we know that's not true. if you like your insurance and your insurance premium, get to keep it. your premiums aren't going to go up. we know that's not true. the costs have gone up. the premiums are going up. there is discussion about a 73%, apparently an average number that the earlier gentleman spoke about, was a premium increase with obamacare. i can tell you that those numbers that say up to 400%, they are real. 2 1/2 months ago i sat down with the health insurance underwriters, and they gave an example of a 28-year-old woman who is satisfied with her share of her individual policy premiums at $200 a month. if she smokes would see it go from $200 to $800 a month. it is a malignant tumor, it must be ripped out by the roots and completely repealed. i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired. the gentlelady from new york is recognized. ms. slaughter: thank you, mr. speaker. i'm pleased to yield a minute to the gentlewoman from california,

ms. chu. the speaker pro tempore: the gentlelady from california is recognized for one minute. ms. chu: mr. speaker, i rise today in opposition to the patients rights repeal act. doing the same thing over and over and over again and expecting a different result? that's insanity. this week house republicans are trying to repeal the affordable care act for the 37th time. 37 failed attempts weren't enough? more than 105 americans have arbitrary lifetime coverage caps lifted because of this law. up to 17 million children with pre-existing conditions can no longer be denied coverage. and more than 6.5 million children up to the ages of 26 now have coverage on their parents' plan. about half of whom would otherwise be uninsured. why would anyone want to roll all of this back? why would anyone waste 43 days

as republicans have done so far to repeal a bill that does so much for the american people? it's not smart. it's not logical. more importantly, it's not right. the speaker pro tempore: the gentleman from texas is recognized. mr. burgess: i'd now like to yield one minute to the gentleman from texas, mr. culberson. the speaker pro tempore: the gentleman from texas is recognized for one minute. mr. culberson: mr. speaker, i think there is one thing america needs to know that simplify this is debate clearly. the only people exempt from obamacare is the president, vice president, the committee staff that wrote the bill, exempted themselves from the bill, and the federal agencies that are implementing obamacare are exempt from the very law that they are shoving down the throats of the american people. the democrat majority that passed this bill over the objections of the overwhelming majority of the nation didn't even bother to read it. speaker nancy pelosi said we have to pass the bill to see what's in it. they had no concept of what was

in it. i had the chance to ask the financial genius, charles schwab, what are the two things we could do to create jobs and grow the economy? he said repeal dodd-frank and repeal obamacare. two of the most destructive pieces of legislation ever passed by the united states congress done by a democrat majority that didn't even bother to read it and exempted themselves from it. the committee staff that wrote the bill exempted themselves from it. the federal agencies that are implementing it are exempt from obamacare, but they stuck it on all the american people, including the members of congress. we are all under it but president obama and vice president biden are not. that's all you need to know. the speaker pro tempore: the gentleman's time has expired. the gentlelady from new york is recognized. ms. slaughter: to respond what we just heard, none of us are exempt. i don't know what that's all about, i'd like to give a minute to mr. andrews, the gentleman from new jersey. the speaker pro tempore: the gentleman from new jersey is recognized for one minute. mr. andrews: i ask unanimous consent to revise and extend my remarks. the speaker pro tempore: without objection. mr. andrews: the house deserves

a vigorous debate on any question, it also deserves a factual record. the president, vice president, employees of the executive branch are subject to the law in the following way, because they receive coverage for their employer, their employer is subject to the rules of the law. the second thing i want to make very, very clear, no member of the house of representatives is exempt from this law in any way, shape, or form. . as far as the committee staffs are concerned, the committee staffs that you refer to are members of the federal employee health benefits program. nothing in the law changes that. just as any other person in america who is ensure -- insured by their employer, they have to live by these same kind of rules, this just isn't true. >> would the gentleman yield? committee staff is exempt. the president of the united states is exempt. he volunteered to sign up, the

president did agree to sign up -- mr. andrews: reclaiming my time. this is just not correct. there is no one exempt from this coverage. does the gentleman agree that he is not exempt from this coverage? are you exempt? the speaker pro tempore: the gentleman's time has expired. mr. andrews: ask i ask for 10 more -- can i ask for 10 more seconds? ms. slaughter: i'll give 30 seconds. mr. andrews: i control the time. i yield to the gentleman. are you exempt from this law? >> members of congress are covered. committee members are exempt. the speaker pro tempore: the gentleman from new jersey claims the time. mr. andrews: the committee staffs who are involved in writing the bill are federal employees subject to the federal employees health benefit act. there have been many distortions about this law. this is just one of them. i want to point out, one of the earlier speakers said there was a g.a.o. study that says this increases the deficit by some imaginary number. the score keeper around here for deficits is the congressional

budget office them. say it reduces the deficit by -- congressional budget office. they say it reduces the deficit by $100 million. mr. burgess: may i inquire as to the status of time? the speaker pro tempore: the gentleman from texas has 8 1/2 minutes remaining. the gentlelady from new york has 3 1/2 minutes remaining. mr. burgess: mr. speaker, i would now like to yield 2 1/2 minutes to the chairman of the rules committee, mr. sessions of texas, for his consideration. the speaker pro tempore: the gentleman from texas, mr. sessions, is recognized for 2 1/2 minutes. mr. sessions: thank you, mr. speaker. mr. speaker, today we're having a vigorous debate about president obama's health care bill. and the reason why we're doing this is that there have been seven or eight different provisions already that have been repealed from this bill in the last two years because either it was fraud, it was onerous or it would not work. the reason why we are on the floor today is not to waste time , but to give themele through r

government an opportunity to say we now know more about that bill that was not read. and here's what we know. we know that it is a $1 trillion-plus spending bill. $1 trillion that would have been in americans' pockets to make their own decisions about their health care. but now it is flowing to the federal government and what it is doing is arbitrarily causing our country -- and this is based upon the laws that are already in place in this country -- of what will happen to the debt of our country. president obama and democrats have led us to trillion-dollar deficits every single year the president has been in office. and this is just the beginning. and at some point our country will cease to become what it is,

a great nation, because we will join the likes of eastern europe. and it is directly because of tax increases and obamacare which limits the size of small business and businesses that want to get under this threshold of 50 employees. and so it arbitrarily will diminish the dreams of americans who want to build their business from a small business to a larger business, simply to avoid the i.r.s. who will be in their business about health care. so, the rules committee is rightfully so bringing this bill to the floor another time so that the american people who are saying not only publicly in polls but through their representatives, this is not a pathway we want to keep going on ofca have to stop the bankruptcy

economy, where college graduates at least stand a chance to be able to have a job and to move our country forward. i thank the gentleman from texas for the time. i yield back my time. the speaker pro tempore: the gentleman's time has expired. the gentlelady from new york is recognized. ms. slaughter: thank you, mr. speaker. if we defeat the previous question, i will offer an amendment to this rule that would allow the house to vote on what the country really needs right now, a bill to create more american jobs. the seam act would help to not only create more jobs but more american-made products, by creating tax credits for productive american manufacturers in the energy innovation industry. i ask the majority to stop its political games, this bill has had no committee action and no discussion and simply fought back over and over and work with us for a change to put some smart policy forward. to discuss this proposal i yield two minutes to the gentlewoman from arizona, mrs. cinema. the speaker pro tempore: the gentlelady from arizona is -- mrs. sinema. the speaker pro tempore: the

gentlelady from arizona is recognized for two minutes. ms. sinema: i thank the gentlelady for yielding. mr. speaker, i do not believe that the affordable care act is perfect. i also do not believe that congress serves the american people by engaging in a partisan fight on this floor for the 37th time. is the law perfect? no. can we and should we come together, stop fighting and get back to the work of the people? yes. there is broad agreement in our country that the affordable care act is not perfect. so let's start there. instead of fighting, congress should work together to fix this law and make it work for americans. today i believe our time is best served by working together to create that which our country so badly needs. jobs. hardworking families are waiting for us to deliver on a promise that brought many of us to this chamber. a jobs bill that puts americans back to work. my amendment, the security and energy and manufacturing act, creates high-paying,. it supports american businesses that create innovative energy

products and hire workers here in america. this is a jobs proposal to help american businesses grow and stay competitive in a global marketplace. i want businesses in my community to put their innovative energy products right into our economy. energy innovation is quickly becoming one of the world's largest industries. countries all over the world purchase billions of dollars worth of innovative products. i want to see those products made in america, not china. i want arizona and america to be globally competitive. by defeating the previous question, we have the opportunity to restore u.s. manufacturing jobs. our constituents senlt us here, democrats and republicans alike, to work together and get americans back to work. my proposal does just that. i yield back. the speaker pro tempore: the gentlelady yields back the balance of her time. the gentleman from texas is recognized. mr. burgess: mr. speaker, at this time i'm pleased to recognize the gentleman from south carolina, mr. price, for one minute. the speaker pro tempore: the

gentleman from south carolina is recognized for one minute. mr. price: thank you, sir. i want to start out by saying i ran a small business for 25 years before entering congress. i always carried health insurance for my employees. but the required coverage under obamacare are far in exs of the coverage i ever carried. we never carried mental health coverage. we didn't coverage substance abuse coverage, we didn't cover vision or dental. guess what, employers? you won't have that choice anymore. the federal government will dictate to you what coverages you must carry on your employees. my colleagues across the aisle speak about jobs. this act has had a horrible stifling effect on hiring in this economy. 70% of small businesses indicate this job has created doubt as to whether or not they'll hire additional employees. small businesses are cutting hours for their employees from 40 back to 30. mr. rice: so they won't be considered full-time employees under this acts.

hardworking americans are suffering today because of this act. doctors, physicians are already dropping out of the system. it's been estimated that up to 15% of hospitals will close if this act is ultimately -- thank you, sir, i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired. the gentlelady from new york. slaught law is i'd like to inquire if my colleague has any more speakers? if not i'm prepared to close. mr. burgess: i have an additional speaker and then my close. ms. slaughter: then i'll reserve. the speaker pro tempore: the gentlelady reserves. the gentleman from texas. mr. burgess: i am pleased to yield one minute to the gentleman from california, mr. lamalfa:. the speaker pro tempore: the gentleman from california is recognized for one minute. mr. lamalfa: thank you, mr. speaker. i'm from northern california which is the land of the original 49ers. that was base on the gold rush of about 160 years ago. now i see that we're creating a

new group of 49ers and it's certainly not heading toward a gold rush for the country. these new 49ers are the people that have to limit the joves their small business to 49 or less in order to stay out of the clutches of obamacare. we also are creating a group called 29ers who have to see their hours cut to less than 30 hours because their employer is out of options, again because of obamacare. as a farmer, i know that when things aren't going right with the farm you have to learn to cut your losses. and in this situation here, we need to have the good sense to not spend good money after bad. and so it's time that we take a good, hard look at this obama health care takeover and decide to repeal it. in california we seem to have a lot of boondoggles including the high speed rail project which prices could quadruple over its original cost. we're seeing the same type of boondoggle with this obama health care takeover and so let's do the right thing,

preserve jobs, preserve people's health care plans as they are and not have this boondoggle upon our entire country. i yield back. the speaker pro tempore: the gentlelady from new york. ms. slaughter: thank you, mr. speaker. i want to be very succinct. what you've heard today is part of the same debate that took place in this chamber on both social security and medicare. those two programs, medicare prailts with 2% overhead, most private insurance operate between 20% and 25%. it is a bargain and it has lifted millions of seniors in this country out of poverty. this bill will provide for us the type of health care that we deserve and that we need based on outcomes and not on a plethora of tests these doctors give. i am absolutely astonished at what we've heard today but there are a couple of things i really want you to remember. one, today we have spent $53 million on this debate, on just to repeal this law. $53 million. if you are frugal at all, and i

am, believe me that burns me up. i can think of many, many things we could use for that. almost seven million jobs have been created in health care since this bill passed. seven million. four more are to come. and the idea that it will do things that we really want to do, provide good health care and good jobs and in this economy. for heaven's sakes, let's not see this bill up again. take a good hard look at it. see all the benefits of it for all of your constituents. you don't want to go home and tell the women and tell the seniors and tell the people with pre-existing conditions that you don't care about them. i yield back the balance of my time. and i call -- it's necessary for me to say this, mr. speaker. the speaker pro tempore: the gentlelady's time has expired. ms. slaughter: vote no. the speaker pro tempore: the gentlelady's time has expired. the gentleman from texas is recognized. mr. burgess: i thank the speaker and i'll yield myself the balance of the timede. the speaker pro tempore: the gentleman is recognized. mr. burgess: mr. speaker, it was indeed a very dark day three

years ago in march when this bill was brought to the house floor, 11:00 at night, 11:30 at night, and passed this house of representatives after members of the democratic conference, the majority democratic conferencers were lied to by the administration about an executive order to prevent the funding for abortion. that's what tipped the balance. that's what brought those last few waivering votes. how did we get to that point? well, throughout 2009, throughout the year, the house had indeed considered the health care question. my committee at energy and commerce did have a markup on h.r. 3200 them. took a lot of amendments, amendments i offered, some amendment rps bipartisan. all of those amendments that were accepted by the committee at some point evaporated at the opening of day, whatever happened at the speaker's office, and they were gone. the health care bill, which the energy and commerce committee passed out, at 1,000 pages, grew to 2,000 pages in the speaker's office and all republican

amendments were strimmed out. and then what happened? -- stripped out. and then what happened? h.r. 3200 died. it's gone. nobody's ever seen it or heard of it since. that was the house health care product. what in fact happened was down at white house in july of 2009, there were secret meetings that took place. there were six special interest groups that met with the president's folks down at the white house, these are the folks that constructed the basis of what has now become known as obamacare. you know, the insurance companies don't hate this law. they like this law. look what's happened to their insurance stock since the law was passed. it's doubled or tripled in value. that's because they had a seat at the table when this thing was crafted. it was crafted according to their liking. but who really wrote the nuts and bolts of the bill was a staff on the senate finance committee between thanksgiving and christmas. this bill, h.r. 3590, which passed the floor of this house three years ago, was a bill that had never had a single hearing in the house of representatives. never had a markup in a single

house committee. h.r. 3590 had passed under suspension in the house of representatives july of 2009 as a housing bill. it went over to the senate to await further action. the further action was an amendment offered by harry reid, strike all after the enacting clause and insert -- and the health care language was inserted. it came back over here, languished for three months, nobody read it and then the speaker forced it through the house of representatives a few minutes before midnight on march 18 of 2010. that's why we're having this debate today. sure, there have been other efforts to are peel this. there was a full repeal in january, 2011. remember, republicans won 84 house seats. so it was natural to have a repeal vote. after the supreme court had their ruling, it was important to reiterate that position. now we're doing it again. the other repeal votes that have happened, many of them have been bipartisan. the 1099, you guys liked that, you want that paperwork requirement to come back? the president signed the 1099 repeal. what about the class act? you all voted for that. i didn't. the class act was repealed on

the cliff note, the president signed it. the repeal votes that have happened in between have been relatively minor in scope, perfecting amendments if you will, but the fact of the matter is you can't perfect this thing. it was a dog at the beginning, it's a dog at the end. we ought to do the right thing. let's bring up the bill, let's pass it, let's send it over to the senate. i yield back the balance of my time. . the speaker pro tempore: does the gentleman have a motion? mr. burgess: move the previous question. the speaker pro tempore: the question is on ordering the previous question on the resolution. so many as are in favor say aye. those opposed, no. in the opinion of the chair, the ayes have it. ms. slaughter: mr. speaker, on that i request the yeas and nays. the speaker pro tempore: the yeas and nays are requested. those favoring a vote by the yeas and nays will rise. a sufficient number having arisen, the yeas and nays are ordered. members will record their votes by electronic device. pursuant to clause 8 of rule 20 and clause 9 of rule 20, this

15-minute vote on ordering the previous question will be followed by five-minute votes on adopting house resolution 215, if ordered, and agreeing to the speaker's approval of the journal. this is a 15-minute vote.

the speaker pro tempore: on this vote the yeas are 228. the nays are 193. the previous question is ordered. the question is on the adoption of the resolution. so many as are in favor say aye. those opposed, no. in the opinion of the chair, the ayes have it. ms. slaughter: mr. speaker. the speaker pro tempore: for what purpose does the gentlewoman -- ms. slaughter: may i request the yeas and nays. the speaker pro tempore: the yeas and nays are requested. those favoring a vote by the yeas and nays will rise. a sufficient number having arisen, the yeas and nays are ordered. members will record their votes by electronic device. this

is >> mr. speaker, i ask unanimous consent to speak out of order. the speaker pro tempore: without objection, the gentleman is recognized. >> thank you, mr. speaker. as many of you know this is national police week. law enforcement officers throughout our country are gathered here in our nation's capital to remember those that have fallen in the line of duty. as a former sheriff and police officer, i couldn't be more proud to be part of this family.

unfortunately last year we lost 120 brave men and women, and this year we have already lost 41. when tragedy strikes as it recently did in boston, we are reminded of these officers' selfless courage, yet we often forget these men and women are at risk every time they report for duty. every time they kiss a loved one goodbye, they never know if it's going to be for the last time. and day in and day out they put their lives on the line to keep us, our communities, our towns, and our cities safe. mr. nugent: for this we owe them a debt of gratitude. so in honor of these law enforcement officers who made the ultimate sacrifice, to keep us safe, please, could we have a moment of silence. the speaker pro tempore: members will rise and the house will observe a moment of silence.

the speaker pro tempore: without objection, five-minute voting will continue. pursuant to clause 8 of rule 20, the unfinished business is the question on agreeing to the speaker's approval of the journal. on which the yeas and nays were ordered. the question is on agreeing to the smofrle of the journal -- speaker's approval of the journal. members will record their votes by electronic device. this is a five-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]

the speaker pro tempore: on this vote the yeas are 277. with one re 132 answering present. the journal stands approved. for what purpose does the gentleman from florida seek recognition? mr. mica: mr. speaker, i ask unanimous consent to withdraw my name as co-sponsor to house resolution 36. the speaker pro tempore: without objection, so ordered. mr. mica: thank you. the speaker pro tempore: for what purpose does the gentlewoman from tennessee, mrs. blackburn, seek recognition? mrs. blackburn: mr. speaker, i ask unanimous consent that all members may have five legislative days to revise and and their remarks include extraneous material on h.r. 45. the speaker pro tempore: without objection. for what purpose does the gentleman from tennessee seek recognition? mrs. blackburn: mr. speaker, i move to begin the debate on h.r. 45.

the speaker pro tempore: the clerk will report the title of the bill. the clerk: h.r. 45, a bill to repeal the patient protection and affordable care act and health care-related provisions in the health care and education reconciliation act of 2010. the speaker pro tempore: pursuant to house resolution 215, the amendment printed in house report 113-59 is considered adopted and the bill, as amended, is considered as read. debate shall not exceed two dwireded and controlled by the chair and ranking minority member of the committees on the education and the work force, the chair and ranking minority member on the energy and commerce and the chair and ranking minority member of the ways and means. the chair recognizes the gentlewoman from tennessee, mrs. blackburn and the gentleman from california, ms. waxman, will each control 40 minutes.

the chair recognizes the gentlewoman from tennessee is recognized. mrs. blackburn: thank you, mr. speaker. i yield myself such time as i may consume. it is just absolutely amazing that we are once again here on the floor to repeal obamacare, but it is a necessary step that we find that we have to do. it is so interesting being out in into fer are are my district, whether i'm talking to state elected officials or county elected officials or talking to those who are employers in my district, those who are job creators, repeatedly we hear from them. this is a bill that turned into a law that is too expensive to afford. one of the reasons -- and i would point this out -- this is a copy of the law as published. at it has turned into is 13,000 pages of regulation. indeed, i wanted to bring that tower of red tape here to the floor today. it is seven feet tall and

growing. seven feet tall and growing. it was too big to be allowed on the house floor. it is amazing. that much regulation that has come from this 2,700-page bill. and now we find out from "the washington post" and "the new york times" that secretary sebelius has -- had conversations with some companies and organizations asking them to help fund getting this started. where is this happening? because it was to be, three years ago, we were told it would be an $800 billion bill. guess what, when we went to budget committee this year, $2.6 trillion is the estimated cost of this bill. so insurance, more expensive. it is to save households $2,500

a year. but instead, they're already the g $3,000 more, and survey that chairman murphy ran for us at energy and commerce committee shows that the costs will go up anywhere, anywhere up to about 400%. depending on who you are, what group you're in. that's what you're going to see your shurps cost go up. we -- insurance cost go up. we hear from physicians. harder to see a physician? yes, it is. our goal should be how do we preserve access to affordable health care for all americans. instead, what my friends across the aisle have done is to focus on how do you centralize health care, run up the cost and decrease access. that is the reason that we are here on the floor today. i reserve the balance of my time. the speaker pro tempore: the gentlewoman reserves. the gentleman from california is recognized. mr. waxman: mr. speaker, i yield myself two minutes. the speaker pro tempore: the

gentleman is recognized. mr. waxman: i rise today in opposition to the patient's rights repeal act, because what the republicans will do is take away all the benefits the american people are already seeing under this law and they will stop the full implementation of it to provide millions of people with health insurance opportunities. our republican colleagues say they want to provide access to health care. they want to do something about people with pre-existing conditions. they say they care about stopping discriminatory practices. they want to lower the deficit. they want to stop rising health care costs. this bill, the affordable care act, is the one piece of legislation that takes major steps on these issues. the republicans offer nothing but opposition over and over again. this is the 37th time the house will vote to repeal the patient's rights bill. from the very beginning, the republicans opposed it. they said it would kill jobs

and they were wrong. they said the law would drive up health care costs through the roof. they were wrong. we are see the slowest gwth spending in decades. they've ignored the significant benefits that are helping tens of millions of people, such as three million young adults who have coverage through their parents' plans. six million seniors who have saved over $6 billion on their prescription drugs. 13 million americans who've received over $1 billion in rebates from their insurers. over 100 million americans who have access to free preventive care who no longer face lifetime limits on their coverage. and the congressional budget office still confirms that the law cuts the deficit by $100 billion in the first decade and more than $1 trillion in the second. the republican patient's rights repeal act under does all of these benefits -- undoes all of these benefits. they send us back to the days where insurance companies were

in charge, costs were skyrocketing and tens of millions either had no coverage, especially if they had pre-existing conditions, or coverage they could depend on. i urge my colleagues to vote no on this legislation and reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: thank you, mr. chairman. at this time i yield to the chairman of the health care subcommittee, mr. pitts. one minute. the speaker pro tempore: the gentleman from pennsylvania is recognized for one minute. mr. pitts: thank you, mr. speaker. on monday in two separate forums, i met with members of the lancaster county and the chester county chambers of commerce, representing dozens of businesses, municipalities across my district about the implementation of the affordable care act. every single one of them had grave concerns with the law. they're confused and deeply concerned about how it will ca and jobs. ability to provide we're only a few months away from implementation of the employer mandate and there are

many unanswered questions. each employer i talked to had pressing questions, but time and again i had to tell them that i didn't have an answer because h.h.s., the i.r.s. or the department of labor hadn't issued rules or guidance yet. this uncertainty is leaving them paralyzed, holding off on hiring and wondering whether they will be able to afford coverage for their employees. it's not just businesses that are hurting. i heard from school districts operating on tight budgets who said they have no choice but to outsource loyal, hourly employees like cafeteria workers, special ed aids, going to part-time -- special ed aides, going to part-time jobs. losing to this bureaucratic nightmare. let's stop the damage. let's stop this train wreck before it occurs. i yield back. the speaker pro tempore: the gentlewoman reserves. the gentleman from california is recognized. mr. waxman: i ask unanimous consent that our time from the energy and commerce committee be controlled by our

subcommittee ranking member, congressman frank pallone from the state of new jersey. the speaker pro tempore: without objection, the gentleman from nnl will control the time. mr. pallone: mr. speaker, i yield myself two minutes. the speaker pro tempore: the gentleman is recognized for two minutes. mr. pallone: mr. speaker, i rise today in opposition to the patient's rights repeal act. i greatly respect my colleagues on the other side from tennessee and from pennsylvania. but i have to say, they are simply obstructionists and this is what bethe question -- what we get from the g.o.p. on a daily basis. nothing happens here in the house of representatives. we know there's a problem, historically there's been a problem with health care and a lot of people not having insurance or having discriminatory practices or not being able to get on their parents' insurance policy. and so we as democrats came up with a solution and that solution is working. we have kids now, almost six million or seven million kids, that are now on their parents'

policies. we have a situation where we're plugging up the doughnut hole for seniors. we have all kinds of preventtive care that's out there relative to women's health and the lifts goes on and on. these things are happening and beginning next year most americans will have health insurance. and what do i hear from the other side? they don't want solutions. you know, i'll be honest with you, to my colleagues, if you really care why don't you make some suggestions and maybe we can work together? anything can be improved. i don't say that anything can't be improved. but, no. they come on the floor and what do they want to do? just repeal it. ok? which is not a solution. which basically would eliminate all the progress that we've made in terms of health care. and yes, costs are not going up as much and, yes, people are get regular baits if their insurance company -- getting rebates if their insurance companies can this because it's suchepea a terrible thing. bringing in distractions about what the secretary of health and human service is doing.

this is not what you're elected to do. you're not elected to come down here and just repeal things and say how bad everything is. you're supposed to come up with solutions and i never hear it from the other side of the aisle. i simply do not hear it. which is why i get very upset, 37th time, 38th time we're going to vote on the same thing which health l the affordable care. the speaker pro tempore: the gentleman's time has expired. the gentleman reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: i yield myself 15 seconds to respond. we believe, mr. chairman, that solutions -- we trust the -- our constituents and the american people. we don't need government control of this. certainly we don't need the i.r.s. policing our private health care information. there's nothing affordable about the affordable care act. that's why we're concerned. at this point i want to yield one minute to the chairman of our conference, mrs. mcmorris rodgers from washington. the speaker pro tempore: the gentlewoman from washington is recognized for one minute.

mrs. mcmorris rodgers: when president obama's health care proposal became law, he told us that it would lower costs, improve quality, cover everyone with pre-existing conditions and ensure that those under 26 would remain insured. but today when we pull back the curtain, the american people see that this law has just made things worse. the president promised that premiums would go down. in fact, he said families would see an average decrease in premiums by $2,500. instead the average family has seen premiums go up by over $3,000. and they're hitting young people hard. some states seeing increases up to 200% and many losing insurance. the president promised those with pre-existing health conditions would be covered. unfortunately just over 100,000 people enrolled in the program before he declared it ran out of money. the president promised that his plan would lead to all americans having health insurance.

but c.b.o. already estimates that 30 million people will still be uninsured even after the law is full yimplemented. we need to replace this policy -- implemented -- fully implemented. we need to replace this policy with one that helps americans. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, i yield one minute to our chairman emeritus from michigan, mr. dingell. the speaker pro tempore: the gentleman from michigan is recognized for one minute. mr. dingell: mr. speaker, i ask unanimous consent to revise and extend my remarks. the speaker pro tempore: without objection, so ordered. mr. dingell: this is a waste of the time of the house and working on a bad piece of legislation. i rise today in strong opposition to the patient's rights repeal act. my republican colleagues are up for the 37th time with nonsense and they're fully determined to take away all of the rights that we have given under the affordable care act to the people of the united states. people are going to go back into

the doughnut hole courtesy of the republicans. no longer will people be protected against being excluded from insurance because of the pre-existing conditions. and it is going to be possible now for insurance companies to kick people off of insurance because they get sick while they have a policy. kids are not going to go on their parents' policies after they're 26. if we pass this nonsensical legislation. einstein said that expecting a different result from things done over and over again is proof of insanity. well, this is insanity but worse than that, it's a waste of time of the people in the congress and the money of the united states citizens who pay our wages. this is a bad proposal. vote it down. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman from tennessee is recognized. mrs. blackburn: thank you. at this time i yield one minute

to the chairman of the oversight and investigation subcommittee at energy and commerce, mr. murphy. the speaker pro tempore: the gentleman from pennsylvania is recognized for one minute. mr. murphy: thank you. the health care bill indeed has some good things in it. no lifetime cap, kids on their parents' policy, people can't be denied prevention. but good intentions do not guarantee good results. because the guarantee of this bill, we were told would lower costs and we're now in a position where it would make cost families more and they won't be able to cover it. on top of $835 billion in taxes, our energy and commerce committee did a study and getting responses from 17 insurance companies, they reported that 96% -- there will be a 96% increase in costs for those getting a new policy, 73% for those keeping and some will be as high as 413%. some will see lower costs but most americans will see some increase in their health cost. that's a reason why we need to repeal this and get back to reforming health care, keeped depoo -- keeping the good parts but americans can't afford this

and when it's not affordable, it's not accessible care. i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: i yield one minute to the gentleman from new york, mr. engel. mr. engel: here we are again. this is nothing more than a feel-good moment for new members of the g.o.p. who didn't get to vote on the repeal in the last congress. the new standard, the scheduling votes is to provide wish fulfillment for members of congress then i have a few requests. if we're going to vote almost 40 times to repeal health care coverage for millions of americans, i'd like to have a chance to vote against the defensive marriage act 40 more times. i had the pleasure to vote against it in 1996, i'm sure there's a new generation of members who would like to vote against it, and i would like to do it again. furthermore, i regret being a teenager when the civil rights act was voted on. i'd like to chance to lend my support to that landmark law. to be able to cast a vote to go to war against nazi germany would be very satisfying to me

and i've contributed to social security my whole life and since my father was not a member of congress in 1932, i would like to vote on his behalf to support the creation of social security. i was a student of history in my youth and i feel very sfrongly that the compromise of 1850 was a point of no return leading to the civil war. i'd like a chance to vote against it. i ask that the republican leadership add all of these to the agenda in the weeks to come. the speaker pro tempore: the gentleman's time has expired. mr. engel: can i get 30 more seconds? mr. pallone: i yield the gentleman another 30 seconds. mr. engel: clearly we have plenty of time available for wish fullment, rather than substantive measures such as the economy, immigration reform and putting people back to work. so i'd like an opportunity to vote again on many different things as well. i yield back the remainder of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from new jersey reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: thank you. at this time i would like to yield one minute to a member of the energy and commerce committee, dr. gingrey from georgia. the speaker pro tempore: the

gentleman from georgia is recognized for one minute. mr. gingrey: mr. speaker. today we are once again voting to totally repeal the patient protection and affordable care act, obamacare. now the most senior members of the energy and commerce committee from the democratic side stand up here and say this is a -- this is the 37th time we have voted for total repeal. no. it's the third time. but we are voting for total repeal for a third time because the republicans and democrats, 65% young and old of the people across this country demand total repeal. they know that they don't want the government taking over 1/6 of our economy and washington bureaucrats imposing a massive tax increase on middle class americans and small business owners. as the government becomes more involved in health care, doctors and patients become further removed, more involved, further removed from their own health care decisions and this will result in a more expensive and a more dysfunctional system. patients should have more control of their medical decisions and reforms should be

driven at the state level rather than rushing through legislation that we have to read to find out what's in it. and if the gentlelady will yield me an additional 30 seconds? 15? thank you. the speaker pro tempore: the gentleman is recognized. mr. gingrey: now, mr. speaker, small business women and men have to read a stack of rules and regulations seven feet high to find out that truly the devil is in the details. as both a physician and taxpayer, fully repealing obamacare is my top priority and i'm proud that we will soon take yet another step toward this critically important goal. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman from new jersey is recognized. mr. pallone: i yield one minute to the gentleman from texas, mr. green. the speaker pro tempore: the gentleman from texas is recognized for one minute. mr. green: thank you, mr. speaker. i rise in opposition to the patient's bill of rights repeal act. here we go again, my colleague from georgia knows it. 37 times the republican majority has tried to repeal the affordable care act.

a law that was upheld by the supreme court, one that will help not only millions of uninsured but everyone with health insurance because the accountable care act improves coverage. repeal means insurance companies can once again deny coverage for pre-existing conditions, it can mean college-aged dependent children will be kicked off their parents' insurance, medicare beneficiaries will lose vital preventtive screenings. and the insurance company practice of the past which frustrated the insured and drained their savings will be allowed to return. the affordable care act means more than 80% of the premium dollars are spent on health care. that was in the affordable care act. the law prevents insurance companies from providing their executives extraordinary perks while failing to provide health care to their customers. but this will never happen again or repeal of the affordable care act will not be successful, it wasn't successful the first 36 times, it won't today. the speaker pro tempore: the gentleman's time has expired. the gentleman from new jersey

reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: mr. chairman. thank you. at this time i yield one minute to the gentleman from florida, mr. bilirakis, a member of the committee. the speaker pro tempore: the gentleman from florida is recognizedormr. lirakis: thank speaker. i appreciate it. i support repealing the misnamed affordable care act because it is a law that americans cannot afford. a recent report from the energy and commerce committee shows that health insurance premiums for small businesses could rise by an astonishing 400%. for my home state of florida, the report knows that individuals enrolled in some current plans could see increases of over 100%. in a small group market we expect to see increases as well. this law is not affordable for individuals or small businesses. the health law tries to hide these new costs through subsidies and tax credits paid for through new taxes and cuts to medicare. we need to repeal this

jaw-crushing, premium-rising, government-expanding law. i'm proud to be a co-sponsor of h.r. 45 and support repealing this unaffordable act. i yield back, mr. speaker. the speaker pro tempore: the gentleman yields back the balance of his time. the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, i just want to set the record straight that there's no government takeover in the a.c.a. contrary to what my republican colleagues are saying. the a.c.a. is built on expanding private sector coverage by improving options in the individual market and encouraging employers to provide coverage. the claim that the a.c.a. is a government takeover is totally unfounded. a system built on private insurance, private doctors and private hospitals is not a government takeover. i yield now two minutes to -- i mean, one minute to my colleague from california, mrs. capps. the speaker pro tempore: the gentlewoman from california is recognized for one minute. mrs. capps: i thank my colleague for yielding. mr. speaker, i rise today yet again in opposition to the

patient's rights repeal act. three years, 37 repeal attempts later, the majority is still playing politics with the health care of real people. thanks to obamacare, 27 million american women now have access to preventtive health screenings and health care without cost sharing. they can receive cancer screenings, annual wellness physicals and contraceptions without extra cost. seniors in my district saved an average of $600 last year on prescriptions, as we closed the doughnut hole. the savings will be even greater. and families to long -- no longer have to worry that their children will be denied insurance because of a pre-existing condition. repeal would take these benefits and protections, raising costs for families, it would return us to a broken system. all the while increasing the deficit. it's time to move on. let's spend our time working on new solutions instead of

repeatedly placing partisanship over politics, over progress and urge the defeat of this bill. mrs. blackburn: i yield to the chairman emeritus of the energy and commerce committee, mr. barton of texas. the speaker pro tempore: the gentleman is recognized. mr. barton: i ask unanimous consent to revise and extend. the speaker pro tempore: without objection. mr. barton: you've seen the commercial of oil filters where someone brings their car in and the guy said they could have paid me before by changing the oil filter or pay me when they bring the car in. that's where we are today. we are going to repeal this act. we can repeal it today or we can repeal it tomorrow. but it's going to be repealed. my friend on the minority side talk about all the good things of it and act like there's no government sper venges. there's just -- intervention. there's just a government mandate that you have to have

insurance. there's a government mandate that employers has to provide it and what's included in that coverage. there is a government price control on the price of the premiums. and of course there's a mandate that everybody in the country has to have insurance. and the i.r.s. can enforce that as a penalty if in fact you choose not to participate in that mandated program. other than that, there's no government involvement in this law. so my good friends, i would say vote with us to repeal it now so we don't have to come back later next year, the year after when health care is in a shambles and we repeal it then. the speaker pro tempore: the gentleman's time has expired. the gentlewoman reserves the balance of her time. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, i yield one minute to the gentleman from pennsylvania, mr. doyle. the speaker pro tempore: the gentleman from pennsylvania is recognized for one minute. mr. doyle: mr. speaker, i rise today in opposition to the patient's rights repeal act. today is actually -- patient's rights repeal act.

today is the 37th time we vote to repeal the affordable care act, a messaging vote that is surely dead on arrival when it reaches the sena good fr texas, youepeal it in this house 37 more times and it will be just as dead when it gets over to the senate. this is a waste of our time. a cbs analysis last year said congress spent 80 hours, two full weeks of work on repeal votes that cost the taxpayers .48 million an e and adam said we spent additional $6 million bringing the total to $54 million to repeal the affordable care act and waste our time here on the floor of the congress. just think what we could have done with $55 million. we can make sure that college students have access to federal work study grants. we can keep low-income kids in

preschool. quit wasting the taxpayers' mohis congress' time. you should be ashamed of yourself. the speaker pro tempore: the gentleman reserves. the chair will remind all persons in the combalry they are here as guests of the house -- gallery that they are here as guests of the house and any audible conversation is in violation of the house. the gentlelady from tennessee. mrs. blackburn: i yield one minute to one of our freshmen, the gentleman from georgia, mr. collins. the speaker pro tempore: the gentleman from georgia is recognized for one minute. collins collins -- mr. collins: i rise in strong support of h.r. 45 and i thank our leadership for bringing this to the floor. contrary to popular opinion, patients' rights is indy. architects of obamacare said it is complicated and if it's not done right the first time it will get worse. the administration simply has to write enough of the right

regulation. nearly 20,000 pages of obamacare-related regulations are already on the books, including 828 pages that were issued in a single day earlier this year. this tidal wave of regulation should be no surprise to anyone who bothered to read the health care before before they voted on it. withle real contents of the health care bill beginning to sink in, i don't believe there is a better time to consider repealing obamacare than right now. i strongly support this bill and yield back the balance of my time. the speaker pro tempore: the gentleman yields back. the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, i yield one minute to the gentlewoman from illinois, ms. schakowsky. the speaker pro tempore: the gentlewoman from illinois is recognized. ms. schakowsky: mr. speaker, i rise in opposition to the patients' rights repeal act. rather than more rhetoric, i challenge my republican colleagues to explain to the american people where we should take away the benefits and protections that obamacare

already provides and will provide. explain to the 125,000 young adults in illinois that they have to get off their parents' policies even if they're sick and explain to the 134,000 seniors in illinois who have saved over $235 million on their prescription drugs why we need them to pay more for their drugs, and explain to the 1.4 million illinoisans who will finally have the opportunity to obtain quality, dependable health insurance coverage. sorry, pop tigs trumps -- politics trumps expanding their access to health insurance. ask my colleagues to stand up and vote no to the patients' rights repeal act. yield back the balance of my time. the speaker pro tempore: the gentlewoman from tennessee is recognized. mrs. blackburn: at this time i yield one minute to another of our freshmen, mr. holding from

north carolina. the speaker pro tempore: the gentleman from north carolina is recognized for one minute. mr. holding: thank you, mr. speaker. mr. speaker, obamacare is bad policy for patients, for doctors, for seniors, for young folks, for small businesses, for medical technology and pharmaceutical companies and for families. mr. speaker, folks in my district tell me time and time again that they are most concerned about the increase in cost of health care and obamacare does nothing to address those concerns. in fact, the recent reports have suggested exactly the opposite. mr. speaker, i thank senator baucus was dead on when he said that he sees a huge train wreck coming down the line in regards to obamacare. obamacare was shuffled through congress with back room deals and false promises. american families deserve better. they deserve to make their own choices about health care, not the government. that is why i'm proud to rise today and join my colleagues in repealing this misguided and misnamed law. thank you, mr. speaker. i yield back. the speaker pro tempore: the gentleman yields back.

the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: thank you, mr. speaker. i yield three minutes now to our democratic whip, mr. hoyer from maryland. the speaker pro tempore: the gentleman fromared for three mi mr. hoyer: i ask unanimous consent to revise and extend. the speaker pro tempore: without objection, so ordered. mr. speaker, apparently the republicans are opposed to obamacare. i know that comes as a shock to america, so we need to tell them one more time. or 37 times. or maybe a 38th or 39th or 40th or 100th time. i don't know how many times we have to replay the election. there was an election in which this was one of the principal issues. and the proponent of health care for all americans was elected by most americans. mr. speaker, this vote, as we all know, is a waste of our

time. it is, however, a political exercise. this had will be the 37th vote to repeal health care reform since the republicans took control of the house. it's exactly the same as the bill that we considered in july . that partisan bill was dead on arrival in the senate, just as this one will be and everybody knows it. in fact, "the new york times" reported that since 2011, republicans have spent no less than 15% of their time on the house floor -- that's since 2011. 15% of their time on this house floor trying to repeal health care for all americans. when president obama was re-elected after campaigning on the affordable care act as a major first-term achievement, with the unanimous opposition of our republican colleagues, and after the supreme court said, yes, this is a

constitutional exercise of the congress' authority, speaker the law of the land. bamacare i'd hoped that would be the end of wastes time and $54 million on taxpayer money on legislation going nowhere that would strip away benefits for millions and millions of americans. sadly, however, this vote is more of the same. it would increase out-of-pocket costs on preventive services for 105 million americans, including 34 million seniors on medicare and 71 million americans covered under private plans. it would allow insurance companies to reimpose arbitrary lifetime limits on coverage for more than 100 million people. it would allow insurance companies once again to discriminate against and deny

care to as many as 17 million children with pre-existing conditions. now, cantorcare tried to reverse that and had to be pulled from this floor because even that, even a republican sponsor attempted dealing with pre-existing conditions was rejected by our republican colleagues. mr. speaker, the clock will not be turned back. may i have 30 additional seconds? mr. pallone: i yield the whip an additional 30 seconds. the speaker pro tempore: the gentleman is recognized for 30 seconds. mr. hoyer: mr. speaker, the clock will not be turned back. obamacare is the law of the land. not my words. speaker boehner's. you said this vote is necessary so that freshmen members will have a chance to get onon a maj they have not gotten on record how, they are not going to get on record. if that is the standard for getting a vote on the floor, then let us get a vote for

replacing the sequester, which you have denied freshmen the chance to vote on all year. that is what we ought to be spending our time on, getting our country on a sound fiscal path, creating jobs and growing our economy. no, we thread water. we waste time. we continue to debate for the 37th time to repeal of health care for all americans. i yield back the balance of my time. the speaker pro tempore: the gentleman reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: thank you. at this time i would yield one minute to the gentleman from south carolina, mr. rice. the speaker pro tempore: the gentleman from south carolina is recognized for one minute. mr. rice: thank you, mr. speaker. this may be the 37th time that the house has taken up the repeal of obamacare, but this is my first time, and i and the constituents who sent me here want my vote recorded to repeal this poorly crafted job-killing law. last week colleges in my

district graduated more than 2,000 students to get in the work force. these week-old graduates in my district will be met with real-life challenges immediately thanks to the president's health care law. over 50% of recent college fwrad wits are unemployed. five years after the recession, national unemployment remains unacceptably high. 70% of small business cite the affordable care act as a reason not to hire. businesses large and small are considering cutting their work force and reducing hours to reavoid the requirements of the affordable care act in january. working families in america are hurting, and the affordable care act is adding to their pain. the c.b.o. estimates that 30% of employers will stop offering -- the speaker pro tempore: the gentleman's time has expired. mr. rice: can i have 30 more seconds? mrs. blackburn: i reserve. the speaker pro tempore: the gentleman from new jersey is recognized. mr. pallone: mr. speaker, could i have how much time remains on

each side? the speaker pro tempore: the gentleman from new jersey has 5 3/4 minutes. the gentlewoman from tennessee has 7 1/2 minutes remaining. mr. pallone: thank you, mr. speaker. i yield one minute at this time to the gentlewoman from florida, ms. castor. the speaker pro tempore: the gentlewoman from florida is recognized for one minute. ms. castor: mr. speaker, the affordable care act is working for families and small businesses all across america. did you know that the affordable care act provides tax credits to small businesses that offer health insurance to their employees and that over 360,000 small businesses have taken advantage of those tax credits so far and millions more remain eligible? speaking of young people, in the state of florida alone, over 224,000 young people have been able to have health insurance because they've now been able to stay on their parents' policy. 1.3 million floridians have received $124 million in

rebates from insurance companies, an average of $168 per family, because of important consumer protection provisions in the law that say insurance companies can't charge families too much. medicare is stronger, the doughnut hole is closing and the affordable care act is a god send to so many families who have pre-existing conditions, whether it's cancer or diabetes or some other chronic condition. let's come together to work on the economy and create jobs, rather than another dehave a jew of repealing health care and -- deja vu of repealing health care and wasting time. vote no on the patient's rights repeal act. the speaker pro tempore: the gentlewoman reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: thank you, mr. chairman. we are working on jobs. i'll take 15 seconds to respond to a couple of things. one of the items that concerns us is that according to c.b.o., implementation of the obamacare bill with its 13,000 pages,

seven-foot tall tower of red tape would cost this economy 800,000 jobs. we also know that it's going to be -- gone to being a $2.6 trillion program. at this time i yield one minute to mr. pittinger from north carolina. the speaker pro tempore: the gentleman from north carolina is recognized for one minute. mr. pittenger: thank you, mr. speaker. mr. speaker, i rise to join a chorus of people who recognize the ineffectiveness of the affordable care act. which frankly, mr. speaker, is not even affordable. the c.b.o. also said that there's $1.8 billion now added to the cost of obamacare. we've seen the impact of physicians, physicians, particularly those with specialties, don't want to continue their practice. people in medical school, they don't want to continue. people in undergraduate, they don't want to go to med school. there's a derth, mr. speaker, of availability in the future for physicians. we've seen premiums skyrocket. in north carolina alone, the

premiums have increased 284%. we've seen the impact of seven million people now who cannot take their own personal health insurance that they were promised. we've seen a risk pool that no longer has funding available. mr. speaker, the american people deserve better and we're going to work hard to make sure that we have a competitive health care program that will deliver true health provisions for the american people. thank you. the speaker pro tempore: the gentleman's time has expired. the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: i yield now one minute to the gentleman from new york, mr. tonko. the speaker pro tempore: the gentleman from new york is recognized for one minute. mr. tonko: thank you, mr. speaker. i rise today in opposition to the patient's rights repeal act. that's right, america. the repeal of patients' rights brought to you by the republican majority of the house. it's the 37th vote to repeal obamacare. while far from err effect, the -- while far from perfect, the affordable care act was a serious attempt to solve a serious problem. by contrast the legislation we're considering today is not serious and the only problem it

portends to solve is offering new members of this body the opportunity to vote on a bill that isn't going anywhere. i you are a -- i assure you there's no lack of problems for this body to address. as much march the unemployment rate for most of my congressional district was at 7%. does anyone in this chamber think we should sit on our laurels with 7.3% unemployment? instead of repealing the affordable care act, is it too much to act that we just hold one vote on the american jobs act? legislation that included both democratic and republican ideas that would put more money into pockets of small businesses and put countless americans back to work. these political votes are a foolish waste of time and the american people deserve better. in closing i would urge my colleagues to oppose this blatantly political legislation and return to a focus on legislation that creates jobs, grows the economy,ly as -- lays the foundation for prosperity and doesn't strip away health care benefits from millions of americans. i yield back. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman from tennessee is recognized. mrs. blackburn: thank you, mr. chairman. at this time i yield two minutes

to the gentlelady from minnesota, mrs. bachmann, who is the author of h.r. 45. the speaker pro tempore: the gentlewoman from minnesota is recognized for two minutes. mrs. bachmann: thank you, mr. speaker. and i thank the gentlelady for -- the gentlelady from tennessee who has been a champion for the repeal of obamacare for years and years. mr. speaker, in light of the recent revelations that have just come out within this last week regarding the outrageous activities of the internal revenue service pointed against the people of the united states, every american should be concerned about the negative consequences of this bill, obamacare. the supreme court has ruled that obamacare is in fact a tax. knowing that it's a tax, the logical conclusion is that the entity in the united states that will be tasked withx policy is . i am a former federal tax litigation attorney. i worked for the treasury department. we had only one client.

it was the i.r.s. the i.r.s. is the only entity that enforces tax policy in the united states. and obamacare is enforced by the i.r.s. probably the most feared federal agency in the united states government. it concerns me, it should concern every single american listening to our voices today, that the i.r.s. has admitted this week that they directly targeted americans, including christians, including those who support the state of israel, including those who are four jobs and less debt, including conservatives. they were targeted why? because of what they believed. their religious beliefs, their political beliefs, and the i.r.s. targeted them for punishment or for reward. depending upon how their ideas lined up with the administration's ideas. you see, this dysfunctional implementation of obamacare and

the ongoing assault on non-negotiable constitutional liberties is enough to convince every single one of us who are the people's representatives to seek full repeal of this law. it's our job, mr. speaker, to defend liberty. we're all sworn to protect and defend the constitution. and that's why today we have to end this horrible piece of legislation and stand up for people so i yield back, mr. speaker, and i thank the gentlelady from tennessee. the speaker pro tempore: the gentlewoman's time has expired. the gentlewoman from tennessee reserves. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, i believe the other side has more time. so at this time i would reserve. the speaker pro tempore: the gentleman from new jersey reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: at this time i yield one minute to mr. salmon of arizona. the speaker pro tempore: the gentleman from arizona is recognized for one minute. mr. salmon: thanks. i ask for permission to revise and extend my remarks. the speaker pro tempore: without

objection, so ordered. mr. salmon: thank you. mr. speaker, i'm driven today to rise because i agree wholeheartedly with senator max baucus, that the obamacare is a train wreck to our economy. as a proud co-sponsor of h.r. 45, i unequivocally support a full repeal of this onerous law. since the supreme court has delineated it as a tax, it's clear that obligations or commitments to not raise taxes on the middle class have gone by the wayside. in fact, this will be one of the largest tax increases on the middle class known to man. in fact, there's a tax -- a hidden tax in this bill on medical devices. life-saving medical devices. my mother, 90 years old, has a pacemaker. that keeps her alive. next time she gets one she's going to have to pay a tax on that and so is every other senior citizen that has a pacemaker. i think this is just flat-out wrong. also, mericopa community college district reclassified 700

professors from full-time status to part-time status so they don't have to pay this onerous tax. this is a terrible bill, it needs to be repealed. thank you. i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired. the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: thank you, mr. speaker. you know, the gentleman from arizona keeps talking about the terrible things in the health care reform. but let me just say, in his state, if the a.c.a. was repealed, that would mean that in arizona drug costs for over 65,000 seniors would have been $102 million higher. 69,000 young adults would not have had coverage through their parents' plans, 917,000 women and 434,000 seniors and people with disabilities would not have had access to free preventative care. 414,000 people would not have received $28 inbas from and next year 948,000 people will not have access to quality, dependable health insurance coverage. so these are the facts, the real

problem that happens in the state of arizona if this bill were to pass and the health care reform would be repealed. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the gentlewoman from tennessee is recognized. mrs. blackburn: at this time i yield one minute to the gentleman from south carolina, mr. sanford. the speaker pro tempore: the gentleman from south carolina is recognized for one minute. saven mr. sanford: thank you, sir. i rise with the course of others in this whole notion of repealing obamacare primarily because of its financial impact. at the end of the day, if you look at the government accounting office numbers, what they show is there's $6.2 trillion of cumulative impact here. if you look at the congressional budget office numbers, what they show sin creasing numbers in $800 billion increments and if you look at the american tax reform studies what they show are 20 new or raised levels of tax with this bill. i think more importantly it turns on its head this whole notion of a hippocratic oath which has been a 200-year

tradition in this country of doctors working directly for a patient and i think finally it turns upside down this american tradition of not having the government force on the consumers the notion of purchase of a product. it's for that and many other reasons that i join again with a course of -- chorus of others in urging the repeal of this bill. with that i'd yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: mr. speaker, at this time i'd like to yield to the gentleman from maryland, the ranking member of our budget committee, mr. van hollen. a minute and a half. the speaker pro tempore: the gentleman from maryland is recognized for 1 1/2 minutes. mr. van hollen: thank you, mr. speaker. i thank the gentleman. mr. speaker, voting to repeal the affordable care act for the 37th time is a waste of resources and another example of the refusal to focus on the important issues of jobs and the economy right now. it's also an example of bad

budgeting. one of the things i don't think our republican colleagues have focused on is that their claim toav balanced budget rests on the savings and the tax revenue in the obamacare bill. so if you repeal all of obamacare, which this bill says it wants to do, the republican budget will immediately be out of balance in 10 years. here's how it works. you look at the republican budget in 10 years, they claim that there's a $7 billion surplus. but the reality is it also contains in it medicare savings. we heard that issue demagogued during the last presidential campaign, and it also includes obamacare revenue. and if you take out that over $400 billion in medicare savings and the revenue in obamacare, poof, the republican budget is way out of balance.

and, mr. speaker, it's not just me saying that. here's what the heritage foundation said. they also point out that the republican budget depends on obamacare. so, long story short, you can't have it both ways. you can't repeal obamacare and go home and tell people you did that and at the same time say you have a balanced budget. thank you, mr. speaker. the speaker pro tempore: the gentleman's time has expired. the gentleman reserves. the gentlewoman from tennessee is recognized. mrs. blackburn: at this time i yield one minute to mr. messer of indiana. the speaker pro tempore: the gentleman from indiana is recognized for one minute. mr. messer: i thank jeament. i rise in support -- i thank the gentlelady. i rise in support today of the obamacare repeal. i can't begin to highlight all of the problems of obamacare in one minute so i will instead focus on this simple fact. obamacare is the biggest assault on the 40-hour workweek in this country in a generation. under obamacare government mandates and penalties kick in for every employee that works

more than 30 hours a week. employers can't afford obamacare's mandates and penalties so they're scaling back the hours of their employees to less than 30 hours as a result. and that's bad for workers. it means many working moms will be forced to look for a second job to find the hours they need to pay their bills and feed their families. in my hometown of she'll byville, for example -- sehlbyville, for example, it's all right meant that some teacher's aides have to work less. the problems are just beginning. mr. speaker, it's time to repeal obamacare and restore the 40-hour workweek. 40 may be the new 30 when it comes to aging, but 30 is the new 40 when it becomes the obamacare workweek. i yield back the balance of my time. the speaker pro tempore: the gentlewoman reserves. the gentleman from new jersey is recognized. mr. pallone: i just wanted to ask the time again, mr. speaker. the speaker pro tempore: the gentleman from new jersey has 1

1/2 minutes. and the gentlewoman from tennessee has 1 1/4 minutes. mr. pallone: oklahoma. -- ok. i yield myself the balance of the time. mr. speaker, i just heard the gentleman from indiana say we can't do this, we can't do that. this is the problem with the other side of the aisle, with the republican side of the aisle. they always believe that we can't do anything here in the house of representatives. the fact of the matter is the democrats saw the problem. the problem was discriminatory health insurance practices. the problem was young people not being able to get on their parents' insurance policies. the problem was women not being able to access health care. and so many americans, 40, 50 americans that did not have health insurance. and what did we do as democrats? we found a solution to the problem which was the affordable care act. and it is working. the discriminatory practices are going away. ok? more and more people are going to have health insurance. most americans will have health

insurance by the beginning of 2014. and the doughnut hole for prediction drugs for seniors is being closed. all these things are answers that the democrats have brought through the affordable care act, the problem that exists with our health care system. and all i hear from the other side of the aisle is, we can't do this, we can't do that. well, we've done something. don't just come here and tell us we have to repeal it. as i said before, it if you have a solution, you want to work with us to improve things, that's fine. but don't come here for the 37th time and 38th time and say, we're just going to repeal the affordable care act. you never come up with a positive solution to the problem. in this congress all we hear from the republican side of the aisle is we want to repeal everything. we want to waste time. don't continue to do this. this bill is a complete waste of time. it passes here, it goes to the senate, and nothinlet' keep thi affordable care act, in place. it's doing wonderful things for the american people. the speaker pro tempore: the gentleman's time has expired. mr. pallone: thank you, mr. speaker. the speaker pro tempore: the

gentleman's time has expired. the gentlewoman from tennessee is recognized. mrs. blackburn: this law has become 17,000 pages of regulation. it has gone from costing $8hand billion to $2.6 trillion -- $800 billion to $2.6 trillion. you hear people talking about solutions and wanting government to do things. mr. chairman, the american people can solve so many of these problems. they know the answers do not come out of washington, d.c. they come from our communities. they come from our state legislatures. they come, solutions come from employers that are fighting every single day to keep people employed. one of the biggest impediments to job growth indeed, including the 800,000 jobs this bill will cost us, this law, obamacare costing us 800,000 jobs over the next 10 years, is keeping people working full time. we know what the problems are. we're saying, look, admit it

was a mistake. the american people don't want it. it's too expensive to afford. let's get it off the books, and we do come forward with solutions. we come forward with keeping patient-centered health care center most for our constituents. that's what they want. they want options. they do not want regulation and mandates by the federal government who can't seem to solve the problems that are in front of them right now, whether it's the i.r.s. or anyone else. let's repeal this bill and pass h.r. 45. the speaker pro tempore: the entlewoman's time has expired.

the speaker pro tempore: the gentleman from minnesota, mr. kline, and the gentleman from california, mr. miller, will control 20 minutes each. the gentleman from minnesota is recognized. mr. kline: thank you, mr. speaker. i rise today in strong support of h.r. 45, the legislation that will repeal the president's job-destroying health care law and i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. kline: thank you, mr. speaker. mr. speaker, our nation is meyered in a jobs crisis and

our president's health care law is making it worse. since it was first elected in 2010, federal bureaucrats have written nearly 20,000 pages of new regulations. 20,000 pages. colleagues on the other side of the aisle have talked about how many times we've tried to get rid of this menace, and what's changed? well, as we know very famously we had to pass the bill to find out what was in it, but even then we didn't know what was in it. we are now 20,000 pages of regulation and still counting. meanwhile, america's job creators are struggling to manage the full effects of the law in their workplaces. one has owned and operated sonny's real pit barbecue for 30 years. at a recent hearing in north carolina, he outlined the difficult choices he faces including higher prices for ustomers and fewer hours for workers. one testified in 2011 that his business may also have to shift workers to part-time hours in order to, quote, protect

existing jobs. as chief human resources officer with rowan combrareas community college, one said that they have to cut the number of courses offered to students. she described the health care law as a, quote, massive administrative burden that comes with unanticipated costs, closed quote. and gail johnson, president and c.e.o. of an early childhood learning center warned in 2011 that obamacare would force entrepreneurs to invest less into growing their business, closed quote, and slow the growth of small businesses. these men and women live each day with the consequences of the health care law. no doubt others across the country have similar stories to tell. there are a number of good reasons why congress should repeal the government takeover of health care. it is driving up the cost of care and millions will lose the health care corage ty have and like. yes, mr. speaker, if you like your coverage you may not be able to keep it, according to c.b.o. at least seven million people

fall into that trap, but for many americans, one reason stands above the rest, jobs. our nation's workers and employers cannot afford the democrats' job-destroying health care law. i urge my colleagues to vote yes on h.r. 45, and, mr. speaker, i yield the balance of my time to the gentleman from tennessee, dr. roe, and ask unanimous consent that he be allowed to control that time. the speaker pro tempore: without objection, the gentleman from tennessee will control the balance of the majority's time. mr. kline: thank you, mr. speaker. the speaker pro tempore: the gentleman from tennessee reserves. the gentleman from california is recognized. mr. miller: thank you, mr. speaker. i yield myself four minutes. the speaker pro tempore: the gentleman is recognized for four minutes. mr. miller: i rise in opposition to the patients' rights repeal act. mr. speaker, we meet today for the 37th attempt to take away the basic health care rights for millions of americans. yet, despite all these votes, the affordable care act remains the law of the land, and it will remain the law of the land even after today's vote, that's a fact. so why are we here for the 37th time?

are republicans afraid that americans will finally get basic preventive health care screenings with no co-pays? are they afraid that americans will no longer be gouged with denying coverage because of pre-existing conditions? are republicans fearful that the insurance companies can't cut off life-saving care just because somebody got sick, because they can't do that now with the affordable care act. why on earth would anyone fear american families being put back in charge of their health care? but we're here yet again to satisfy the majority's need to have another meaningless vote. this obsession of repeal by the majority is bordering on the absurd. it's time to move on, for goodness sakes. open season is set to begin in five months. americans without affordable insurance will be able to shop for plans in an open and transparent marketplace with the help of tax credits for those who qualify. employees of swisses -- employers of small businesses will be able to shop for appropriate health care for their employees and for their businesses with the help of tax credits. it's our duty as public servants to help our constituents navigate this new law, not spend our time

obstructing it. that's how california has approached the reform. we worked in a collaborative way with all of the stakeholders and that's how the government should work, because they know that it will help families struggling to afford health insurance. take an instance of a family making $60,000 in california who buy insurance. today they spend $12,500 on health insurance. that's more than $1,000 a month. but starting in january this family will save almost $5,000 a year because of the affordable care act. think about what this family an do with that extra $400 a month. it means paying your bills, it means paying for your car. this is what obamacare does. this is what the republicans are trying to hide from the american people. our country has debated health care for more than a century. they keep saying there are other alternatives to the solutions. it's funny, none of them came forward during the debate with the solutions and help premiums

skyrocket in double digits year after year. we helped them -- for decades we debated the control over the national health spending by ensuring everyone is covered. for decades we debated how to deal with uncompensated -- the cost of -- that costs families dearly and it took the leadership of speaker pelosi and president obama to bring positive change for families struggling under health care costs. the fact of the matter is this plan currently today is working for millions of americans, for millions of seniors, for millions of young americans, for millions of young people born with pre-existing conditions. that's what this legislation is about. the cost of prescription drugs for seniors, making sure people can get preventive care without co-pays, the republicans want to yank that all away and they don't have a plan to provide that health security. interestingly enough, "the wall street journal" said this is

entrepreneurial because people who feel they will be able to start businesses because they know they will have health insurance for themselves or their spouses and kids and they will become the entrepreneurs they want to be. there is a discussion among large employers because people will leave and start their own businesses. that's what health care enables americans to do for the first time, not be locked into a job because of the fear of the insecurity of not having health care for your family and what that means. this is a entrepreneurial act. this is liberating people. this is freeing people from the financial fear of the loss of health care. never again with the passage of this legislation will an american lose health care because they lost their job, because somebody died in their family, because their child was born with a pre-existing condition. never again. the republicans don't have an alternative. they only have obstruction and repeal as part of their program. i yield back the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from tennessee is recognized. mr. roe: i yield myself two minutes.

the speaker pro tempore: the gentleman is recognized for two minutes. mr. roe: i thank the speaker. today i rise in strong support of h.r. 45, the repeal of a flawed health care reform bill. i came to this body 4 1/2 years ago understanding that the greatest problem with the american health care system was cost and access. i knew this because i practiced medicine in approximate east tennessee for 31 years. i'd also been involved in health care reform in tennessee beginning in 1993 with our attempt to reform our medicaid program called tenncare. i knew here what not to do. obamacare is not -- is what not to do. we saw costs skyrocket and we saw our then-democratic governor cut benefits and cut the rolls. therefore rationing care. we need health care reform today in this country, but we need patient-centered health care reform where patients, their families and their physicians make health care decisions, not government bureaucrats with 20,000 pages worth of rules or insurance

companies. health care should not be a partisan issue. i as a physician have never seen a republican or democrat heart attack. i never operated on a republican or democrat cancer in my life. we were made promised during the health care debate, your insurance premiums would go down, jobs would be created, access will be expanded. what's really happened? insurance premiums have skyrocketed by as much as 100%. we're lookingality tax increases for individuals -- we're looking at tax increases for individuals. taxes on life-saving medical devices. small business owners are being forced to cut hours, delay investments, stop hiring just to stay afloat. this comes at a time when families need more income to make ends meet, not less hours to work and hire insurance -- and higher insurance premiums. maybe the biggest insult of all, the i.r.s. will determine if your insurance coverage is

adequate. mr. speaker, i stand ready to repeal this flawed bill and work with my democratic colleagues on health care reform that will truly work for the american people, and i yield back the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from california is recognized. mr. miller: i yield four minutes to the gentleman from new jersey, mr. andrews. the speaker pro tempore: the gentleman is recognized for four minutes. mr. andrews: i thank my friend for yielding. it is right and good that people should passionately pursue their points of view in democratic debate, but it's also our obligation to work from the same set of facts. i sat here and listened to my friends for the better part of an hour, and i do think it's important that we reflect a correct record on a lot of things. first of all about the deficit. we have a neutral referee here about questions about spending and taxes called congressional budget office, and several members on the other side have quoted what the c.b.o. said on different things. here's what the c.b.o. says

about this law. repealing this law will add at least $100 billion to the deficit. now, our friends disagree with that, but the referee that they hire, that we live by says repeal of the law adds $100 billion to the deficit. we hear that health insurance premiums have gone up by an average of $3,000 per year. i don't know the source of that claim. someone should share that with us. but i do know this, the cost control strategies in the new law, which involve the establishment of a competitive insurance market so the insurance companies don't have huge market control, hasn't taken effect yet and doesn't take effect until january 1 of 2014. this characterizes government control of -- this is characterized as government control of health care. it says a person without health insurance can get a subsidy to choose among private insurance plans, like blue cross and blue

shield, like kaiser permanente and make their choice. there is nothing in this law, and i challenge my friends on the other side, mr. speaker, to show us one word that says that the doctor-patient relationship is in any way impeded or impaired by this law. they can't find those words because they're not there. the bill is referred to as a job-killing health care law right out of the polling and focused groups of the republican party. here's the facts. in the months before the law was signed, the country was bleeding jobs. 750,000 jobs lost in the month of january of 2009 when the president was inaugurated. since the law was signed, the private sector las added -- has added 3 1/2 million jobs. now, you can argue it could have been 4 1/2 million or five million. have that argument if you want. the private sector has gone up by a lot, not down.

that's what the private sector has done. one of the jeptleladies referred ,000 c.b.o. saying 700 jobs were lost. here's what that report really says. it says that a lot of people who are older, in their late 50's and early 60's, who are working because they feel they have to work for health insurance, are likely to take early retirement. that's where the 800,000-job difference comes from, that's what the report says if you read it. we've heard obamacare is a tax. that is true. obamacare is a tax on two kinds of people. people with investment income in exs of about a quart of -- in depess -- in excess of about a quarter million dollars, and people who can afford health insurance, choose not to buy it and choose to have our neighbors and our constituents who do buy health insurance pay their bills when they go to the emergency room. that is true. we've heard we have to protect the constitution.

well, we are protecting the constitution. with all due respect, your side litigated this and lost. the supreme court of the united states heard the claim this is unconstitutional and said you were wrong. finally, we hear about the assault on the 40-hour workweek. massachusetts, under a governor named romney, did something very similar to this law. imposed an employer mandate -- mandate. here's what happened in massachusetts. while the rest of the company was shedding -- a country was shedding 3.6% of its full-time jobs, massachusetts lost -- can i ask for 30 more seconds? the gentleman is recognize -- the speaker pro tempore: the gentleman is recognized for 30 more seconds. mr. andrews: i thank my friend. massachusetts lost 2.8% of its full-time jobs. massachusetts added .9% of part-time jobs to the work force. so if this bill is going to force all of these employers to drop their hours from full-time to part-time, why didn't it

happen in massachusetts? this has been a fact-free debate up until this time. the country deserves better, the house deserves better, we should oppose this absent-minded repeal. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman from california reserves. the gentleman from tennessee is recognized. mr. roe: i yield myself 15 seconds. i just left my office, the tennessee insurance commissioner who said, the first of january, the individual market, a 40% to 75% higher premiums, the small-group market, 55% higher, plans would be less rich, with higher co-pay, higher deductibles, young healthy males get a huge increase. instead of adding eight state-wide plans we're now down two and maybe one. now i yield one minute to steve dains from montana. -- daines from montana. the speaker pro tempore: the gentleman is recognized for one minute. mr. daines: earlier this week i sent an online survey to my constituents with one simple

question. do you support efforts to repeal obamacare? thousands of montanans responded and by a 3-1 margin they made it clear that obamacare needs to be repealed and as we speak the american people are lighting up twitter, check it out yourself. they're tweeting about the harms of obamacare in three words. after the hashtag is obamacare in three words. while americans are saying things like job-crushing mandates and premiums are skyrocketing, one hour ago the white house tweeted back and said this, because it's law. well, i have three words for the white house. arrogance of power. mr. speaker, if the president is unwilling to listen to the voice of the people, then the house will. because this is the people's house. obamacare is a bad law, plain and simple. i was elected to serve the people of montana and represent their voice in this congress and that's what i'm doing today. montanans have spoken loud and clear them. want this law repealed. and that's why i will vote for

to repeal it. thank you and i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired. the gentleman from tennessee reserves. and the gentleman from california is recognized. mr. miller: i yield two minutes to the gentleman from virginia, mr. scott. the speaker pro tempore: the gentleman is recognized for two minutes. mr. scott: thank you, madam speaker. madam speaker, i rise today in opposition to the patients' rights repeal act. today if people want to talk about repealing health care reform, it's important that they talk about exactly what repeal means. repeal means that young people under 26 will have to get off of their parents' policies, repeal means that seniors will have to suffer through the doughnut hole that we're in the process of closing, repeal means an end to tax cuts to small businesses who are providing health coverage for their employees. repeal means that next year all americans can expect to be able to afford health insurance will not be able to afford it and all americans with pre-existing conditions who expected to be able to buy health insurance at

the standard rate will not be able to buy it. repeal means that those who think they will need health security if they switch jobs, they will lose that security when they switch jobs. repeal means an end to the laws against insurance abuses like unreasonable rate increases and cancellation of policies when you most need them. there will be an end to that if we repeal. if people want to talk about repealing the affordable care act, they should talk about what's going to happen to young people. to those with pre-existing conditions. to seniors and the doughnut hole and the future affordability of health care. madam speaker, we should not repeal the affordable care act. we should oppose the legislation and i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from california reserves. and the gentleman from tennessee is recognized. mr. roe: thank you, madam speaker. i'll now yield two minutes to my good friend, dr. larry beau chon from indiana. the speaker pro tempore: the gentleman is recognized for two

minutes. mr. bucshon: thank you, mr. speaker. i rise today in strong opposition to obamacare for the reasons we have heard already here today. however i would like to explain how this train wreck is affecting indiana and costing good-paying hoosier jobs. indiana is home to over 300 medical device companies, creating over 54,800 jobs that pay an average salary of $59,706 per year. in the medical device industry, provides $55 billion to indiana's economy. companies have already decided not to expand and many across the country have announced layoffs. the device tax is so dangerous that our friends in the u.s. senate voted recently 79-20 to repeal the medical device tax in the last congress, the house voted in a bipartisan manner to repeal the tax. again we've heard from the white house that the president doesn't support repeacaey nd the money to support obamacare. the tax is a job-killer and stifles innovation and must be repealed. obamacare is full of these type

of examples. this near-government takeover of our nation's health care system is riddled with more taxes, burdensome regulations and unintended consequences that are costing jobs and compromising the quality of health care available to americans. not to mention many full-time employees are being cut back to part-time so that employers can comply with all the requirements of the law. my constituents are telling me that this is happening as we speak back in indiana. before coming to the house, i practiced medicine for over 15 years. that experience tells me this law fails to help patients get access to quality, affordable health care, prevents businesses from expanding and helps -- and is not helping us create much-needed jobs. it also puts government bureaucrats between the patient and their doctor. government bureaucrats and an agency that's intrusive, untrustworthy and targeting american citizens based on politics. yes, madam speaker, obamacare vastly expands the i.r.s. and is dependent on the agency for its

implementation. that's why i'm proud to stand here today with my colleagues to support our nation's patients by voting to repeal this disastrous law so we can replace it with commonsense, patient-centered reforms. i yield back. thank you. the speaker pro tempore: the gentleman's time has expired. the gentleman from tennessee reserves. and the gentleman from california is recognized. mr. miller: i yield two minutes to the gentlewoman from new york, ms. velazquez. the speaker pro tempore: the gentlelady is recognized for two minutes. ms. velazquez: thank you. i thank the gentleman for yielding. madam speaker, i rise today in opposition to the patients' rights repeal act. the u.s. supreme court's ruling upholding the health care bill was an historic win for this nation's small businesses and their employees. in fact, 62% of polled small businesses didn't have access to health insurance for themselves, their employees and their families. that ruling proved that the affordable care act was a good law. the benefits small businesses

are already seeing reiterate this fact. and yet we find ourselves voting again on repealing this landmark law. once more, we must vote on a bill that will not help a single small business invest, hire or secure loans. you want to help small businesses? put people back to work. in addition to the small business health care tax credit, which has already helped 360,000 small businesses, providing health insurance to up to two million workers in this country, the medical loss ratio has ensured that businesses of all sizes were getting the most out of their premium dollars, saving nearly $322 million. money that they could put back into their companies.

the future of health reform holds more promise. banning denials for pre-existing conditions reduces job luck and encourages more than 1.6 million prospective entrepreneurs to launch new companies. at a small business hearing last month, ms. mcqueeny credited the a.c.a. with providing her company better coverage and greater peace of mind. the a.c.a. will soon prohibit insurers from hiking rates on small firms without justification and end discrimination based on gender. so, i agree with ms. mcqueen when she says, frankly, it cannot come soon enough. the speaker pro tempore: the gentlelady's time has expired. mr. miller: i yield the gentlewoman 30 additional seconds. ms. velazquez: contrary to republican beliefs, the a.c.a. gives small businesses better

access to quality coverage. passage of today's bill will strip new protections that provide bargaining power to small companies. that is why i will continue to oppose any efforts repealing a law that is beneficial to millions of small firms and i urge our colleagues to vote no. thank you and i yield back the balance of my time. the speaker pro tempore: the gentleman from california reserves. and the gentleman from tennessee is recognized. mr. roe: thank you, madam speaker. i now yield two minutes to tom cotton from arkansas. the speaker pro tempore: the gentleman is recognized for two minutes. mr. cotton: any time an elder spoke in the roman senate, he said, whatever the topic, carthage must be destroyed. as long as carthage described, the freedom and prosperity of the roman people would never be secure. as then with carthage, so now with obamacare. as long as it remains on the

books, the health, prosperity and freedom of the american people will never be secure. obamacare raised $700 billion for medicare, meaning seniors across arkansas will have their health care rationed as doctors refuse to see new medicare patients. obamacare creates an unelected and unaccountable panel of bureaucrats to ration and deny needed medical care to arkansas seniors. obamacare will cause insurance premiums to skyrocket by as much as 60% to 100% for arkansas families. obamacare raises 21 taxes by more than $1 trillion and will cost at least $1.7 trillion in the first decade alone. obamacare violates our freedom of conscience by using taxpayer dollars to fund abortion. obamacare is corrupt to its rotten core. the government has exempted hundreds of the president's cronies from the law. the secretary of health and human services is right now shaking down private companies for millions of dollars to promote obamacare.

and of course the i.r.s. expanded by 2,000 agents will be the main enforcement agency for obamacare. the very i.r.s. who we now know targets the president's political opponents for harassment and intimidation. madam speaker, obamacare must be repealed. i urge the congress to repeal this abominable law and i urge the american people to vote down in office every politician who voted for it three years ago. the speaker pro tempore: the gentleman from tennessee reserves. the gentleman from california is recognized. mr. miller: i yield two minutes to mr. courtney. the speaker pro tempore: the gentleman is recognized for two minutes. mr. courtney: thank you, madam speaker. madam speaker, i rise today in opposition to the patients' rights repeal act. this is now number 37, the 37th time that we have debated this issue and we've now built up quite an archive of hysterical predictions by the republicans during all these debates and three years of experience to see how those predictions have actually panned out. prediction number one, obamacare

was going to kill medicare advantage plans. has that happened? no. in 2013 this year, 14.5 million americans have enrolled in medicare advantage plans, up from last year which was 12.8 million. and while the enrollment is up, the cost has stayed flat even. the monthly premium, average monthly premium for medicare advantage this year versus last year went up $1 a month. health savings accounts, the g.o.p. said that the obamacare would kill health savings accounts. this year, in 2013, health savings accounts have never been higher. 13.5 million americans are in health savings accounts, up from 11.4 million in january, 2011. the president of the health savings administrators was quoted recently saying you're going to see an explosion of health savings assets. we've heard it's going to kill jobs. we've already heard from mr. andrews, 6.7 million new private sector jobs have been created since march of 2010. many of them by the way in

health care. over 800,000. but lastly, all the predictions about busting the budget, and creating higher new costs, we heard yesterday from the congressional budget office that medicare cost growth has been at the most moderate level since medicare was created in 1965. the index of per capita medicare expenditure last montrose less than 1%. again -- month rose less than 1%. it's doing it the smart way. by greater oversight of fraud, by better coordination of care, by more preventtive care such as giving seniors the prescription drugs that the republican prescription drug program denied them back in 2003. this program, like any program, can always be improved. and i've worked with mr. roe, dr. roe, in terms of the ipba -- ipabepeal. s do that. the speaker pro tempore: the gentleman's time has expired. the gentleman fro the speaker pro tempore: the gentleman from california reserves, the gentleman from

tennessee is recognized. >> i now yield one minute to the gentleman, mr. rossfuss from ennsylvania. >> mr. roth fuss: president obama made a lot of promises when he pushed his health care through congress he promised if you like your health care plan you'd be able to keep it. western pennsylvanians will tell you president obama has failed to keep these promises. we recently saw one of these failures when the community college of algony county reduced the hours of many part-time employees because it could not afford the increased cost of health insurance. this is just one of the many sad side effects that puts the government in the driver's seat of our health care system while taking doctors and patients along were the ride. western pennsylvanians don't want a law to turn the doctors'

waiting room into the waiting for the department of motor vehicles. they want a health care reform that makes it more responsive to patients and their families. the speaker pro tempore: the gentleman is recognized. i yield one minute to the gentleman, mr. cardenas. the speaker pro tempore: the gentleman is recognized. mr. cardenas: my friends across puttinge could focus on this urgent -- urgently needed law into effect. millions more americans will have the opportunity to get health care under this law. they will finally be able to live without fear that they're not one illness away from going into bankruptcy. now you want to take that promise away from them. earlier this year, my friends across the aisle committed

themselves to engaging hispanic americans. how can they say they genuinely want to address our needs when they vote to destroy a law that's going to represent 41 million americans having access to health care and of those, 10 million latinos having access to health care. point of personal privilege, madam speaker, i'd like to take the opportunity to thank my wife for being married to me for 21 years, today is our anniversary and here i am on the floor working and hopefully we'll have some good work tone today. thank you very much and i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired fresm gentleman from california reserves. the gentleman from tennessee. mr. roe: republicans and democrats did rote to -- vote to repeal the ipab, the device tax, we didn't have any solutions, 80 amendments, none ruled germane to the bill.

the republican substitute was approved, funding high risk pools for pre-existing conditions, h.h. -- h.s.a.'s and putting the consume for the charge of health care decisions. i now yield to my friend from south carolina, joe wilson. the speaker pro tempore: the gentleman is recognized for how much time? mr. roe: one minute. mr. wilson: thank you, madam speaker. thank you, dr. row, for yielding. today house republicans will vote for the 37th time to repeal or defunding obamacare. prior to its deal making passage in 2010, the national independent -- nationaling orny sargse of independent businesses warned that government takeover of health care would destroy 1.6 million jobs due to mandates and tax increases crippling small businesses. to make matters worse, at a time when our nation is experiencing record unemployment, president obama has called on the i.r.s., an agency currently in the midst of scandal to create thousands

of new agents to enforce ouh ba macare. based on recent reports it's clear i.r.s. should not be expanded to include the authorization of controlling health care for the american people. today's vote will give us an opportunity to repeal a crucial job killing, destroying bill that in turn will provide small businesses the certainty they need to begin hire geng and put american families back to work. as a proud co-sponsor i urge my colleagues on both sides of the aisle to vote in favor of the bill. i yield back my time. the speaker pro tempore: the gentleman's time has expired. the gentleman from tennessee reserves. the gentleman from california is recognized. >> how much time is available. the speaker pro tempore: the gentleman from california has four and a half minutes remaining, the gentleman from tennessee has seven and a quarter minutes remaining thch egentleman from california reserves. the gentleman from tennessee is recognized. mr. row: it's my pleasure to yield one -- mr. roe: it's my pleasure to yield one minute to eric cantor

of virginia. the speaker pro tempore: the gentleman is recognized for one minute. mr. cantor: thank you, madam speaker. i thank the gentleman for the time. madam speaker, today i rise in support of the full repeal of obamacare. moms and dads across america are worried. they're worried abouter that health, the health of their kids, the health of their aging parents. they're struggling to understand how the new health care laws will affect their prescription prices, their emergency room visits, whether they can keep their doctor or worse, whether they can keep their job. want the best for themselves and their children and so do we. house republicans want patient-centered health care reform that lowers costs, increases access, makes the health care system easier to enter, and easier to navigate.

obut macare is not the answer. while both parties agree that we must make health care more accessible, we in the majority fundamentally disagree that more government is the answer. sweeping mandates on individuals and businesses will not improve our health care. we do not wish to see unelected federal bureaucrats come between patients and their doctors. limiting choices, lowering quality, and raising costs. madam speaker, this act, which is the obamacare law which is set to be implemented eight months from now is a threat to american patients and their families. when this law was first debated twivepb an signed in -- debated in 2009 and signed in 2010, the white house promised the american people that obamacare would lower costs for families an businesses.

that promise has been broken. nothing could be further from the truth. if you like the health care coverage you currently have, you reely don't know if you'll be able to keep it under obamacare. many employers are delaying hiring decisions because of provisions outlined in the law. and people with pre-existing conditions are now being denied the coverage the president promised. there are more complaints about the law than praise and for good reason. it is now projected that obamacare will send health care premiums skyrocketing in the individual and small group insurance markets. when fully enacted, this law is expected to pose new financial burdens on america's youngest adults and many working families. moreover, due to projected costs, cuts to medicare advantage, many of our seniors will face a type of health care

that they didn't bargain for. this act should not be considered a reform but a bureaucratic overreach that makes a mess out of our health care system and gives incredible power to the internal revenue service. president obama has already signed seven bills originating in the house that repeal or defund parts of his health care law, but if we are serious in wanting to deliver real results for the people who sent us here, we should repeal obamacare and replace it with the health care that the american people desire. thank you and i yield back. the speaker pro tempore: the gentleman yields back. the gentleman from tennessee reserves. the -- so the gentleman from tennessee is recognized. mr. roe: thank you, madam speaker. i now yield one minute of time to my friend from north carolina, richard hudson. the speaker pro tempore: the gentleman is recognized for one minute. mr. hudson: thank you, madam speaker. i don't have much in common with

the leadership in the senate but today i stand in agreement with senator max baucus who characterized the implement eags of obamacare as a train wreck. disasters occur when the government oversteps its bounds. we see it with obamacare, the most egregious example, but we've also seen what happens when federal agencies target people for their political belief, we've seen them violate the first amendment rights of reporters and journalists and 've seen it in the attack on benghazi. obamacare is the biggest example of government overreach we have ever seen and a disaster is ensuing. hardworking americans are losing their job, families are pay manager in taxes and seniors are losing much-needed medicare coverage this bill hasn't been fully implemented yet. health care has always been and should always be a relationship between a patient and a doctor of their choice. not a government mandate to be managed by faceless bureaucrats

in washington, d.c. the federal government has no authority to be the managers of the fiscal well being of -- physical well being of every american. i support full repeal. the speaker pro tempore: the gentleman from tennessee is recognized. mr. roe: i reserve. the speaker pro tempore: the gentleman from california is recognized. mr. miller: i have two speakers left. i reserve. the speaker pro tempore: the gentleman from california reserves. the jelve from -- the gentleman from tennessee. mr. roe: can i inquire about the time. the speaker pro tempore: the gentleman from tennessee has 5 1/4 minutes remain, the gentleman from california has 4 1/2 minutes remaining. mr. roe: i yield one minute to the -- to ranity weber from texas. the speaker pro tempore: the gentleman is recognized for one minute. mr. weber: i rise to implore congress to listen to the american public and to pass h.r. 45. if you think the unaffordable care act is a good deal then as an american you have to ask yourself, do you believe the i.r.s. acts in your best

interests? my conservative guess is not on the best days. ask yourself, with all the events in benghazi shrouded in mystery or bathed in sunlight and transparency? not on your life. ask yourself were the phone records of the a.p. reporters and the privacy that should have been afforded to them were they protected? not on the best days. ask yourself, is the government here to help? no, the government that is in the process of bankrupting social security, bankrupting the post office on the verge of killing medicare and medicaid, now wants to come tell us, trust us. we're from the government. we're here to help. madam speaker, i don't think the american public can afford that kind of trust or help. the answers are not here in washington, d.c. but they're back with americans. listen to the american public. i'm randy weber, let's pass h r. 45. that's the way i see it. the speaker pro tempore: the gentleman's time has ex-peered. the wrelt from tennessee se

recognized. mr. roe: i reserve. the speaker pro tempore: the gentleman from california is recognized. mr. miller: the previous speaker -- i yield myself two minutes. the speaker pro tempore: the gentleman is recognized for two minutes. mr. miller: the previous speaker said we should listen to the american people. when the american people listen to the congress of the united states they would assume all the republicans in the country are against this health care bill and all the democrats are for this health care bill. but if you look at the kaiser family foundation, most recent poll on this, you'll find out that 96% of the democrats and 83% of the republicans support the tax credits for small business that are now the law of the land and 360,000 small businesses are getting those tax credits. 90% of the democrats and 74% of the republicans support closing the doughnut hole and the doughnut hole is in the process of being closed. democrats and republicans agree in the country. that this is a good deal. 8 % of the democrats are excited

and 72% of the republicans, about the creation of health care exchanges where they can go and shop for health care just as members of this congress do in open season when they can pick and choose from different plans. in kale, there'll be 33 plans offered by private health insurance companies that they can pick and choose from. they think that's a good idea. they think it's a great idea. 4% of democrats and 68% of republicans think it's a great idea that children will not be thrown off their parents' policy, as is the law today, as s the law today. that's why you've only voted to repeal. on the first day you took the majority of this congress, you voted to repeal and you instructed the committees to come up with an alternative. had 7 votes on repeal and you've had no action by the committees on the alternative. so you have a plan that is meeting the needs of american

families, millions of americans. of all walks of life, small businesses, big businesses, employees of both, children, seniors, people with pre-existing conditions. and your answer is to repeal, like that's progress. no, that's not progress. that's the failure to have an alternative and creative thinking about how to deal with the health care problems of the american people. the obamacare act does that. the affordable care act does that and that's what this congress did. i reserve the balance of my time. the speaker pro tempore: the gentleman's time has expired. the gentleman reserves and the chair would like to remind the members to address their remarks to the chair. the gentleman from tennessee is recognized. mr. roe: thank you, madam speaker. i'd now like to yield one minute of time to scott perry of pennsylvania. the speaker pro tempore: the gentleman is recognizes -- recognized for one minute. mr. perriello: thank you, madam speaker -- mr. perry: thank you, madam speaker. in 2010 this bodyia was told it needed to pass the bill so the american people could know what's in it. well, mr. speaker, if the american people would have known

of the toxic consequences that obamacare would have, i'm certain they would not have allowed this legislation to be passed. i rise today to expose some of the ramifications that obamacare will have on americans when it is fully implemented in 2014. in my home state of pennsylvania , premiums rates in the individual market will increase by approximately 30%. and on a national level there will be a 73% rise in premium costs for those keeping insurance. for those interested in getting a new plan, you're going to see an average increase of 100% in costs compared to today. due to the employer mandate, as many as 20 million to 65 million americans will likely lose their employer-sponsored health care. well, mr. speaker, three years later and we still don't know everything in this legislation but we do know who's picking up the tab. it's hardworking families and job-creating small business owners. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman from tennessee

reserves. and the gentleman from alifornia is recognized. mr. miller: i yield the minority leader one minute. the speaker pro tempore: the gentlelady is recognized for one minute. ms. pelosi: thank you, madam speaker. i thank the gentleman for yielding. and i thank him for his leadership and that of mr. levin and mr. waxman, as the chairs of the three committees, when this legislation so, transformative in the lives of the american people, was passed by the house of representatives. and now as we're coming to the floor today to -- i don't know what the word is, to even counter some of the ridiculousness that is being said on the other side of the aisle in relt relationship to the affordable care act -- in relationship to the affordable care act. the fact is that what's happening today is the patients' rights repeal act. that's what they want to do. repeal patients' rights.

why are they doing this? do you think this would be a good idea, to do this on women's health month? to repeal legislation that gives a wide range of free preventtive services to women -- preventative services to women, the protection being dropped for women when they are pregnant or when they are sick, what no longer will they, under the bill no longer will they be charged higher premiums than men, of course the republicans want to repeal that today. that women will no longer be a pre-existing medical condition. it's just one piece of it. the fact is, this is not a serious effort to repeal the act. that's not going to happen. what this is is another example of job evasion. job evasion. in several ways. first of all, it is our job to come here and act for the good

of the american people and right now the american people see that good as the creation of jobs. what is it, 134 days into this congress and the republican majority has yet to put forth one bill and vote one bill out to create jobs. job evasion. here we are today with yet another one of their substantive -- sub ter funals. let's not talk about jobs. let's use up time. what has it been up until now? $54 million, 43 some days spent on this, the 37th effort to repeal the affordable care act? what we should be doing is what the republicans have asked for. regular order to go to the budget table, to reconcile the differences between the house and the senate so that we can put forth a product of budgets that creates jobs,t reduces

the deficit, that strengthens the middle class. instead we are wasting the taxpayers' dollars and time on legislation that is going to undermine protections for the american people when it comes to their health and well-being. this legislation, this bill today just gives us another opportunity for our side to talk about the transformtific nature of the affordable care act -- transformative nature of the affordable care act. if there was no reason to pass such a bill, if everyone loved his or her own health care and health insurance premium, if that were the case, we would still have had to pass the legislation because the status quo in health care in our country was unsustainable from a financial standpoint. it was unsustainable for families, for individuals, for families, it was unsustainable, for small businesses it was

unsustainable, for corporate america, the cost of health care was a competitiveness issue. as we try to be -- retain our position as number one in the world. a competitive issue. the cost of health care, the rising cost. and it certainly was unsustainable for cities, states and the federal government. our budget could not sustain the rapid increase of health care to our budget. and so that's why, when the speaker asked, the c.b.o. responded by reiterating in a letter he sent yesterday. yesterday the nonpartisan congressional budget office informed house republicans in a letter that repealing the affordable care act would increase the $109 billion over the next 10 years. they said that this is a figure they had ive begun the speaker

last july -- that they had given the speaker last july. there may be little changes in it between now and then but that was approximately from the -- where the figures sat. if you want to reduce the deficit, you don't repeal the affordable care act because in doing so you increase the deficit by $109 billion over the next 10 years. and the purpose of the bill was not only to make health care -- improve the quality of health care, increase the accessibility to many more people, and to lower the cost, but that in lowering the cost it would reduce the deficit. so it's a bill that pretty soon many more americans will be taking advantage of it, but so far over 100 million americans have taken advantage of the preventtive services. over 1 -- preventative services. over 100 million americans. over 100 million americans are no longer subjected to lifetime limits on their insurance

coverage. that's a remarkable thing. six million seniors have seen prescription drug costs be reduced. those who are in the doughnut hole. by around $6 billion. young people can stay on their -- right now today, on their parents' insurance policy until they are 26 years old. he list goes on and on about the preventative exams that are free to seniors. the list goes on and on about what benefits the action that the republicans are taking today would repeal. that are good for the health and well-being of the american people. now, this bill's not just about health care. it's about the good health of the american people. it's about prevention, it's about wellness. it's about electronic medical records that will make -- change

everything in terms of access to care and the quality of your care because of your record or wherever you are. it's entrepreneurial. our founders, in their dedication and their sacrifice and their courage called for life, liberty and the pursuit of happiness as goals of our new republic. of our democracy. and this bill honors the v.o.w.s of our founders and -- vows of our founders in just that way. a healthier life, the liberty to pursue your happiness, if you're an artist or if you're a photographer or if you're a writer, if you want to be self-employed, if you want to start a business, if you want to change jobs, whatever it is, you are no longer job-locked because as fast as your

aspirations as your health insurance program will take you. if you have a child with a pre-consisting medical condition or if you're concerned about being sick yourself. in no longer are confined your pursuit of happiness by the cost of a health care premium. or the ability to even get one. it is entrepreneurial we even see articles now, mr. chairman, you have pointed them out in the public media about young people or not even young people but people who want to leave companies and start their own businesses. they're weighting -- waiting for this bill to be full yimplemented so they -- fully implemented so they have that freedom to go forward. so while i think it is a waste of the public's time to take this bill up on the floor of the house, to hear my colleagues talk on the floor, you'd think they either don't know what they're talking about or they do. and in either case it is not -- they're not presenting the facts about what this legislation

does. it is going to be right up there with social security and medicare, pillars of economic and health security for the american people. it is going to make us more competitive internationally because our businesss will not be -- businesses will not have an vill of the cost -- the rising cost of health care. it reduces the deficit, improves the health and well-being of the american people, it's about the entrepreneurial spirit of america, it honors the vows of our founders of life, liberty and the pursuit of happiness. this legislation should be rejected and pretty soon more people, as they take advantage of the legislation, will see just how and important it is to them individually and how important it is to the health and well-being of our that, madam speaker, i yield back the balance of my time. the speaker pro tempore: the gentlelady yields back the balance of her time. the gentleman from california reserves. the gentleman from tennessee is recognized.

mr. roe: thank you, madam speaker. i now would like to yield one minute to mr. doug la maffle a lamalfa: from california. the speaker pro tempore: the gentleman is recognized for one minute. mr. lamalfa: thank you, madam speaker. i'm pleased to be able to join my colleague, mrs. bachmann, on this legislation. we do have a history in the past of repealing bills such as prohibition. it has been done. so this one would have near the same status in size by the time it's all done. i'm from california. we know a lot about boondoggles in california. i go back to high speed rail and other issues like that. but they call this affordable care act and it's still being done with a straight face. really? price tag, we were advertised $900 billion. now it's approaching $2 trillion. jobs, 48% of business owners are saying that they're holding off on new hires because of the

obama health care takeover. taxes, again, affordable? over $1 trillion in new taxes with more in sight. how are we calling this affordable? seven different measures to repeal portions of the obama health care takeover with more on the way. and this part's really great. thousands of new i.r.s. enforcers will be hired to help implement obamacare. the speaker pro tempore: the gentleman's time has expired. mr. lamalfa: i ask you to support h.r. 45. thank you. the speaker pro tempore: the gentleman from tennessee is recognized. or reserves. mr. roe: i reserve the balance of my time. the speaker pro tempore: reserves the balance of his time. the gentleman from california is recognized. mr. miller: i just have one speaker left and you'll close. the speaker pro tempore: the gentleman from california. mr. miller: i believe i have 1 1/2 minutes. the speaker pro tempore: that is correct. the gentleman from new jersey is recognized for the remainder of the time. without objection, the gentleman is recognized. mr. andrews: madam speaker, on the east coast it's almost the

end of the work day. and we know that somewhere a mom who stood on her feet all day in a retail store or broken her back all day in naursing hoping will come home -- nursing home will come home and she'll see that her son or her daughter isn't feeling very well. is too sick to eat dinner, can't seem to sleep through the night. most of us in this country have the privilege of taking that child to the pediatrician or the emergency room right away. right away. but for over 40 million people in this country, they don't have that privilege, because she'll hesitate, because she'll think maybe my daughter will get better by the morning. because a trip to the emergency room for that family might also mean a trip to the bankruptcy court. we are here today to honor her work, not disrespect it. almost every day here, the wall

street bankers, the oil barrens, the big shots -- the oil barons, the big shots get their way. her day is coming. on january 1, 2014. because for the first time in this country's history, we'll do more than talk about the fact that we honor her, we'll honor her work and honor her family with affordable health insurance. that day is coming. this charade won't stop it. no amount of misrepresentation will cease it. that day is coming. her work will be honored. the affordable care act will be implemented. i yield back. the speaker pro tempore: the gentleman's time from california has expired. the gentleman from tennessee is recognized. the speaker pro tempore: thank you, madam speaker. i yield myself the balance of my time. -- mr. roe: thank you, madam speaker. i yield myself the balance of my time. i came here four and a half years ago to work in a bipartisan way on health care

country ich this desperately needed. we've had three years to look at the affordable care act. i wish it had tone what everybody said it would. i wish costs had gone down. i wish businesses were hiring all these people. i wish taxes weren't going up. but they are. wish we had debated this bill until open rule. i asked our commissioner tennessee, if we did not pass this bill and you heard me saying earlier, premiums going up 50-plus percent, i said if we did absolutely nothing, what would happen to rates in tennessee? they would go up 8% to 10%. we would be much better off in my state ag iand arame here in bipartisan way, not to work on a partisan bill which is what this is. madam speaker, we need to repeal

this bill and to replace it with patient-centered reforms that puts patients and doctors back in charge of health care decisions and with that, i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time.

the speaker pro tempore: the gentleman from michigan, mr. camp, and the gentleman from michigan, mr. levin, will each control 20 minutes. the gentleman from michigan, mr. camp is recognized. mr. camp: thank you, madam speaker. i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. camp: i rise in support of h.r. 45, legislation to repeal obamacare. in march of 2010, then speaker pelosi famously said with respect to the president's health care law, we have to pass the bill so you can find out what's in it. well, washington democrats passed that bill and virtually every week since has been an expensive, eye-opening experience. over the past three years, it's become clear that obamacare is irrep rahably flawed, failed to deliver on its promises an causes serious harm to our my. the legislation before the house is the first step toward fixing all these problems. we must first repeal this

onerous law and then move forward and work with stake holders to develop step-by-step commonsense reforms that lower the cost of health care and respect the patient-doctor relationship. the president's health care law is at its core a flawed policy. it puts the federal government precisely where it doesn't belong, between americans and their doctors. instead of families deciding what coverage is best for them, families and employers deciding how much they can afford, this law has the secretary of health and human services and the i.r.s. making those decisions. obamacare also falls short of almost every one of the president's and congressional democrats' promises for the law. it doesn't control costs. it doesn't let americans keep the insurance they have and like. doesn't protect jobs. doesn't ensure seniors have access to their doctors and hospitals and doesn't prevent 21 new tax increases, including more than a dozen that will hit

middle class families. simply put, it's a resounding failure. if that wasn't enough, the health care law is causing serious harm to our economy. at a time when it's struggling to climb out of the hole dug by the administration's failed economic policies. we've received countless reports of businesses reluck tant to hire or shifting employees from full-time to part-time employment because of the deep costs -- the steep costs associated with complying with the law. this is unacceptable. well over 11 million americans replain unemployed. madam speaker, i urge my colleagues to join me in voting to repeal this burdensome law and continue working toward real reform that lowers costs and improves the quality of health care in this country. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time of the gentleman from michigan is recognized. mr. levin: i yield myself such time as may consume. the speaker pro tempore: without objection. mr. levin: i rise in opposition to the patient rights repeal act. here we go again.

this vote is more than just a sideshow. it's an embarrassing spectacle that has consumed house republicans for more than two years to the detriment of our economy and millions of americans looking for work -- for work. republicans on this have their legislative heads in the sand and their feet in cement. the republicans are blind to the benefits that so many are already experiencing through a.c.a. it's already helping millions of americans with many millions more set to gain insurance coverage through the marketplaces next year. with their feet in cement, 37 times house republicans will have voted to repeal all or part of obamacare.

more than 50 million -- 50 million taxpayer dollars have been spent by house republicans for the dozens of hours republicans have devoted to floor votes to try to repeal obamacare, which even speaker boehner acknowledged last year is the law of the land. since the beginning of 2011, republicans have spent no less than 15% of their time on the house floor trying to repeal obamacare when they know it would not happen. yet not once this year, not once, have republicans turned their focus toward job creation. a we have here, repeal is republican obsession.

i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from michigan is recognized. mr. camp: i yield one minute to a distinguished member of the ways and means committee, dr. boustany from louisiana. the speaker pro tempore: the gentleman from louisiana is recognized for one minute. mr. boustany: thank you, madam speaker. as a physician with 30 years' clinical experience, i rise to vigorously oppose obamacare once again. that's what we need to repeal this abomination. why? take a look at this chart. where is the doctor and where is the patient? well, look at the corner. physicians, way over here in the corner. patients way over there. what's at the center of this? the department of health and human services with the secretary. at the top, the i.r.s. we all know what's going on with the i.r.s. today. how can we trust an entity like that to enforce this abomination of a health law? doctors and patients deal with very personal information. very personal.

that's why you have to preserve the sanctity of the doctor-patient relationship and having all this between the doctor and the patient is basically a recipe for massive failure. that's why we must repeal it. that's why i stand with my colleagues to repeal it. let's do the right thing, let's go step by step and get sensible, real reforms that will make americans proud of their health care system. thank you and i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman reserves. the gentleman from michigan is recognized. mr. levin: i yield one minute to the gentleman from new york, mr. rangel. the speaker pro tempore: the gentleman is recognized for one minute. mr. rangel: i ask unanimous consent to revise and extend my rashes, ma'am. the speaker pro tempore: without objection. mr. rangel: thank you so much. i think all of us came to this august body with the mandate that we should try to improve the quality of life for our constituents and therefore the united states. people that made our country so great. education. health care, jobs. these are the things we want to

do. but it's reached a point that this is no longer just putting democrat at a political advantage. what it is doing is embarrassing the entire congress. and i dare say people in the country recognize that there's something wrong going on in congress. those of you that have taken civics 101 knows that there is no intention to repeal this act. people are waiting to get jobs, they're wait, really, to get health care. and we are on the move for that. i've been here over four decades. we've been trying to get universal care, we're almost there. if you're talking about repeal, it takes the majority of both houses to pass this bill. the president is going to veto it. and you have to have 2/3 in both houses nort to repeal. that is not going to happen and you know it. the speaker pro tempore: the gentleman's time has expire the

jell from michigan. mr. camp: i yield one minute to a distinguished member of the ways and means committee, the gentleman from georgia, dr. price. the speaker pro tempore: the gentleman is recognized. mr. price: thank you, madam speaker. i appreciate the chair's leadership on this. this law has been in place for a little over three years. as a physician, let's look at the symptoms of this law. cost of premiums? increasing. access to your doctor or your plan? already more difficult. quality of health care going down because of washington's interference. innovation, terribly effective. harming quality in this country. choices for patients, decreased. let me get this straight. increasing costs, less access, lower quality, less innovation, limiting your choices, madam speaker, that's a life-threatening and terminal diagnosis. it's time to repeal the a.c.a. and adopt patient-centered health care where patients and families and doctors make

medical decisions, not washington and the i.r.s. the speaker pro tempore: the gentleman yields back. the gentleman from michigan is recognized. mr. levin: i yield a minute and a half to the gentleman from washington, mr. mcdermott, dr. mcdermott. the speaker pro tempore: the gentleman is recognized for one and a half minutes. madam rmott: well, speaker, thursday, got to have the press release ready, here we come, the 37th time they're going to try to repeal the affordable care act. you've heard a lot of nonsense already in two speakers, absolute untruths told right here. about killing jobs and about rising premiums. washington state put out their premiums yesterday and their premiums for young people are down by 15%. all that hyperbole about going

up 450% or whatever we hear is nonsense. it is simply fear mongering and you know, the deficit comes down, insurance is more affordable and accessible, and at the most, 33% have been convinced by this stuff over here, in my home state people are ready and willing to do it. our governor went out and set it up, we're going to go and do it. the only thing the republicans are angry about is that obamacare is going to become the law. it's being implemented. it's fwoning to be in place in october. it drives them nuts that they can't figure a way to stop it. they come out here once a month to try and repeal it, over and over and over again and they keep failing. that's pretty close to the definition of mental illness, doing the same thing over and over again and thinking you're going to get different results. you are not going to get a different result. the fact is that this is about votes.

we have a new crop of freshmen who are getting their campaigns ready and they've got to have the check in the box that says i voted against obamacare. vote no. the speaker pro tempore: the gentleman's time has expired. the gentleman from michigan is recognized. mr. camp: i yield one minute to the distinguished member of the ways and means committee, the gentlewoman from tennessee, mrs. black. the speaker pro tempore: the gentlewoman is recognized for one minute. mrs. black: thank you for yielding. i am outraged that the internal revenue service has been targeting conservative groups since as early as 2010. this is not a republican or democrat issue. this is a first amendment issue. one that should be a wakeup call about the dangers of the new expansive powers afforded to the i.r.s. under obamacare. no government agency, particularly one with such corruption and apparent